EDISON ISHAYA DENTAL
NPI 1578359832
Dentist - General Practice in Winnetka, CA

Active since April 15, 2025
20501 ROSCOE BLVD, WINNETKA, CA 91306(847) 501-0066(209) 498-0006 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edison Ishaya Dental NPPES

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

EDISON ISHAYA DENTAL (NPI 1578359832), doing business as Roscoe Mason Dental, is a healthcare organization registered as a general practice in Winnetka, California and active in the NPI registry since April 2025. The organization lists Edison Ishaya, Owner-dentist, as its authorized official.

NPPES Registry Identity

NPI1578359832
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEDISON ISHAYA DENTAL
Location Address20501 ROSCOE BLVDWinnetka, CA 91306-1701
Mailing Address20501 Roscoe BlvdWinnetka, CA 91306-1701 · (847) 501-0066
Fax(209) 498-0006
Organization SubpartNo
Authorized OfficialEdison IshayaOwner-dentist · (847) 501-0066
Enumeration DateApril 15, 2025
NPPES CertifiedApril 10, 2025
NPI 1578359832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
20501 ROSCOE BLVD, Winnetka, CA 91306

Other Names 1

Doing Business AsRoscoe Mason Dental

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

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 Edison Ishaya Dental's NPI number?

The NPI number for Edison Ishaya Dental is 1578359832. It was assigned to this organization in the NPPES registry on April 15, 2025. The provider is doing business as Roscoe Mason Dental.

Where is Edison Ishaya Dental located?

Edison Ishaya Dental is located at 20501 Roscoe Blvd, Winnetka, CA 91306. The listed phone number is (847) 501-0066.

What is Edison Ishaya Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for Edison Ishaya Dental was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.