Individual provider Active NPI

Fadi Kattar, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1013035260
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51085 Issued in CA
Practice address
8540 S Sepulveda Blvd Ste 1210
Los Angeles, CA 90045-3819
Phone
(424) 253-3636
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51085 CA Primary

Addresses

Primary practice location

8540 S Sepulveda Blvd Ste 1210
Los Angeles, CA 90045-3819

Mailing address

315 N Almansor St
Alhambra, CA 91801-2622
Phone (626) 222-0018

Other identifiers 1

IdentifierTypeStateIssuer
D51085OtherCADENTI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chang Kattar Dental Corporation CurrentSince Nov 6, 2022 Accepting new patients
Fadi J. Kattar DDS, Inc. CurrentSince Nov 6, 2022 Accepting new patients
Jean Kattar DDS Corp Past Accepting new patients

Locations

8540 S Sepulveda Blvd
Ste 1210
Los Angeles, CA 90045
Phone (310) 670-0225

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1013035260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N ALMANSOR ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918012622",
            "telephone_number": "626-222-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 1210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453819",
            "telephone_number": "424-253-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTAR",
        "first_name": "FADI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D51085",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.