H & S Hanasab Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

H & S HANASAB DENTAL CORPORATION

Doing business as

MID WILSHIRE DENTISTRY

Practice address

3470 Wilshire Blvd Ste 450
Los Angeles, CA 90010-3946

Phone

(213) 386-3348

NPI assigned

Dec 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Homan Hanasab, DDSNPI 1235392317

Title

Owner

Phone

(310) 892-6631

Specialties & licenses 1

Addresses

Other names 1

• MID WILSHIRE DENTISTRY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Homan Hanasab, DDS, MS

  • Periodontics
  • Santa Monica, CA
  • NPI 1235392317
  NPD Authorized official

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734134400000",
    "number": "1083421960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 WILSHIRE BLVD STE 450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103946",
            "telephone_number": "213-386-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 WILSHIRE BLVD STE 450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103946",
            "telephone_number": "213-386-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H & S HANASAB DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A",
        "authorized_official_last_name": "HANASAB",
        "authorized_official_first_name": "HOMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-892-6631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID WILSHIRE DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; 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.