Active NPI
Ely Hasany DDS,Inc.
- Dentist
- Moorpark, CA
National Provider Identifier
1013345834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50605
- Legal business name
- ELY HASANY DDS,INC.
- Practice address
- 217 W Los Angeles Ave
Moorpark, CA 93021-1867 - Phone
- (805) 529-0100
- Fax
- (805) 529-0102
- NPI assigned
- Oct 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ely Hasany
- Title
- President
- Phone
- (818) 888-6860
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50605 | CA | Primary |
| Dentist | 122300000X | 55987 | CA |
Addresses
Primary practice location
217 W Los Angeles Ave
Moorpark, CA 93021-1867
Mailing address
217 W Los Angeles Ave
Moorpark, CA 93021-1867
Phone (805) 529-0100
National Provider Directory
National Provider Directory- Tax ID family
- Ely Hasany DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Woodland Hills, CA
- NPI 1134469315
Locations
217 W Los Angeles Ave
Moorpark, CA 93021
Phone (805) 529-0100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Eagan, MN
- NPI 1043370414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381795200000",
"number": "1013345834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 W LOS ANGELES AVE",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930211867",
"telephone_number": "805-529-0100",
"fax_number": "805-529-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W LOS ANGELES AVE",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930211867",
"telephone_number": "805-529-0100",
"fax_number": "805-529-0102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELY HASANY DDS,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-15",
"last_updated": "2013-10-15",
"status": "A",
"authorized_official_last_name": "HASANY",
"authorized_official_first_name": "ELY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-888-6860"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "50605",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "55987",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorpark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.