Haitham Matar DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41650 Issued in CA

Legal business name

HAITHAM MATAR DDS INC

Practice address

539 N Glenoaks Blvd
#102
Burbank, CA 91502

Phone

(818) 559-3444

Fax

(818) 559-3689

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Haitham Matar

Title

Dentist Owner

Phone

(818) 559-3444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1093906554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 N GLENOAKS BLVD",
            "address_2": "#102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91502",
            "telephone_number": "818-559-3444",
            "fax_number": "818-559-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 N GLENOAKS BLVD",
            "address_2": "#102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91502",
            "telephone_number": "818-559-3444",
            "fax_number": "818-559-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAITHAM MATAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "MATAR",
        "authorized_official_first_name": "HAITHAM",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "818-559-3444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devan Haddad
• Tamer Hafez, MFTI
• Armen Hagopjanian, D.P.M.
• Scott A Hahm, M.D.
• Biayna Hairapetian, MFT
• Hovsep Hajian
• Petros Hajian, D.O.
• Sharon Hakakian
• Kamron Kenneth Hakhamimi, M.D.
• Clement J Hakim, PT

• General Practice Dentistry in Burbank, CA
• Providers in Burbank, 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 8, 2007; 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.