Jonathan Gidan, DDS
NPI 1164639803 · Pediatric Dentistry · North Hollywood, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Gidan, DDS is a Pediatric Dentistry provider in North Hollywood, CA (NPI 1164639803).
Provider details
- NPI number
- 1164639803
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 29280 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jonathan Gidan's NPI number?
- Jonathan Gidan's National Provider Identifier (NPI) is 1164639803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Gidan's specialty?
- Jonathan Gidan is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Jonathan Gidan located?
- Jonathan Gidan's practice location on file with NPPES is 12840 Riverside Dr, North Hollywood, CA 91607-3327.
- What is Jonathan Gidan's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Gidan is (818) 506-2424.
- Does Jonathan Gidan accept Medicare?
- Jonathan Gidan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Gidan's NPI active?
- Yes — Jonathan Gidan's NPI (1164639803) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.