INNA KAGAN D.D.S. A PROFESSIONAL DENTAL CORPORATION
NPI 1366457731
Dentist - General Practice in Reseda, CA

Active since July 31, 2006
17720 SHERMAN WAY, RESEDA, CA 91335(818) 705-0111 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Inna Kagan D.d.s. A Professional Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNA KAGAN D.D.S. A PROFESSIONAL DENTAL CORPORATION (NPI 1366457731) is a healthcare organization registered as a general practice in Reseda, California and active in the NPI registry since July 2006. The organization lists Inna Kagan, President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1366457731
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameINNA KAGAN D.D.S. A PROFESSIONAL DENTAL CORPORATION
Location Address17720 SHERMAN WAYReseda, CA 91335-3317
Mailing Address17720 Sherman WayReseda, CA 91335-3317
Organization SubpartNo
Authorized OfficialInna KaganPresident Of Corporation · (818) 705-0111
Enumeration DateJuly 31, 2006
Last NPPES UpdateSeptember 14, 2012
✔ NPI 1366457731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 43984
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
17720 SHERMAN WAY, Reseda, CA 91335

Other Identifiers 3

Medicare UPINU83091CA
Medicare ID-Type UnspecifiedD43984CA · Dental
MedicaidB43984-01CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inna Kagan D.d.s. A Professional Dental Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120510000483Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Inna Kagan D.D.S. A Professional Dental Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1033308580
17720 SHERMAN WAY
Reseda, CA 91335
(818) 705-0111
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inna Kagan D.D.S. A Professional Dental Corporation's NPI number?

The NPI number for Inna Kagan D.D.S. A Professional Dental Corporation is 1366457731. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Inna Kagan D.D.S. A Professional Dental Corporation located?

Inna Kagan D.D.S. A Professional Dental Corporation is located at 17720 Sherman Way, Reseda, CA 91335. The listed phone number is (818) 705-0111.

What is Inna Kagan D.D.S. A Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Inna Kagan D.D.S. A Professional Dental Corporation enrolled in Medicare?

Yes. Inna Kagan D.D.S. A Professional Dental Corporation is registered in the Medicare PECOS enrollment system.

When is Inna Kagan D.D.S. A Professional Dental Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Inna Kagan D.D.S. A Professional Dental Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Inna Kagan D.D.S. A Professional Dental Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Inna Kagan D.D.S. A Professional Dental Corporation accept?

Health plans from UnitedHealthcare list Inna Kagan D.D.S. A Professional Dental Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Inna Kagan D.D.S. A Professional Dental Corporation was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.