NPIMap

Individual provider Active NPI

Menachem Oren, DMD

  • Periodontics
  • Canoga Park, CA
National Provider Identifier
1073761334
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
41122 Issued in CA
Practice address
21123 Victory Blvd
Canoga Park, CA 91303-2828
Phone
(818) 888-2700
Fax
(818) 888-8317
NPI assigned
Aug 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 41122 CA Primary

Addresses

Primary practice location

21123 Victory Blvd
Canoga Park, CA 91303-2828

Mailing address

5420 Sylmar Ave Apt 208
Sherman Oaks, CA 91401-5142
Phone (818) 335-2312

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
Z. Georges Rhayem, D.D.S. Dental Corp. Past Accepting new patients
Ziad Georges Rhayem, D.D.S Past Accepting new patients

Organizations & group practices 2

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1073761334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 SYLMAR AVE APT 208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015142",
            "telephone_number": "818-335-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21123 VICTORY BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032828",
            "telephone_number": "818-888-2700",
            "fax_number": "818-888-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREN",
        "first_name": "MENACHEM",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "41122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.