Philip Stahl

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108992 Issued in CA

Practice address

6446 Platt Ave
West Hills, CA 91307-3216

Phone

(818) 716-7001

NPI assigned

Aug 1, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Simonian Dental Corporation

  • General Practice Dentistry
  • West Hills, CA
  • NPI 1710072194
  NPD (past)

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1073295952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 LOS CERROS AVE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983135",
            "telephone_number": "925-639-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6446 PLATT AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073216",
            "telephone_number": "818-716-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialty Pain Management & Consulting, Inc
• Maria Spichkin, PHARM.D
• William A Spindell, PHD
• Joshua Spotkov, DO
• Michael James Stahl, D.C.
• Gary Standke, M.D.
• Lawrence Edward Stein, M.D.
• Kelly Diane Steiner, MFT
• Andrew Mark Sternberg, PHARMD
• Steven a. Ecoff, D.O., Inc

• General Practice Dentistry in West Hills, CA
• Providers in West Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.