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DR. POPPY WIDYASTUTI THE DDS
NPI 1992911408
Dentist - Pediatric Dentistry in Winnetka, CA

Active since May 14, 2007
20800 SHERMAN WAY, WINNETKA, CA 91306(818) 883-2273(818) 896-1074 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Poppy Widyastuti The Dds NPPES

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

DR. POPPY WIDYASTUTI THE DDS (NPI 1992911408) is an individual pediatric dentistry provider in Winnetka, California, licensed in California (26289) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1992911408
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. POPPY WIDYASTUTI THECredential: DDS
Location Address20800 SHERMAN WAYWinnetka, CA 91306-2707
Mailing Address8902 Woodman AveArleta, CA 91331-6401 · (818) 830-7133 · Fax (818) 830-7280
Phone(818) 883-2273
Fax(818) 896-1074
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateApril 4, 2012
✔ NPI 1992911408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 26289
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
20800 SHERMAN WAY, Winnetka, CA 91306
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Other Identifiers 2

Medicaid1538130893CA
Medicaid1083624423CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELENITA LUCERO WHEELER M.D.
General Practice
20800 SHERMAN WAY
WINNETKA, CA 91306
Los Angeles County (818) 883-2273
MS. LUZ ORNELAS PRADO MD
Family Medicine
20800 SHERMAN WAY
WINNETKA, CA 91306
Los Angeles County (818) 883-2273
PATRICIA NAJARRO
Case Manager/Care Coordinator
20800 SHERMAN WAY
WINNETKA, CA 91306
Los Angeles County (818) 883-2273
ETHEL DE JESUS MARTINEZ
Nurse Practitioner (Family)
20800 SHERMAN WAY
WINNETKA, CA 91306
Los Angeles County (818) 967-0148
TINA DONALDSON RN, NP
Emergency Medical Technician, Basic
20800 SHERMAN WAY
WINNETKA, CA 91306
Los Angeles County (818) 715-9031
KAREN STEPHANIE DIAZ LCSW
Social Worker (Clinical)
20800 SHERMAN WAY
CANOGA PARK, CA 91306
Los Angeles County (818) 883-2273
MRS. ZHALEH YADOLLAHI MIDWIFE
Midwife
20800 SHERMAN WAY
CANOGA PARK, CA 91306
Los Angeles County (818) 618-2561
MRS. LANA YAROSLAVA FLIPPO M.D.
Pediatrics
20800 SHERMAN WAY
WINNETKA, CA 91306
Los Angeles County (818) 883-2273

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 Poppy The's NPI number?

The NPI number for Poppy The is 1992911408. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Poppy The located?

Poppy The practices at 20800 Sherman Way, Winnetka, CA 91306. The listed phone number is (818) 883-2273.

What is Poppy The's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Poppy The was last updated on April 4, 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.