Active NPI
Brian Neal Hollander, DDS MS
- Periodontics
- Novato, CA
National Provider Identifier
1104902345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 35614
- Practice address
- 1615 Hill Road
Suite 4
Novato, CA 94947 - Phone
- (415) 898-6660
- Fax
- (415) 898-7373
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Periodontics
- Novato, CA
- NPI 1174688295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 21, 2026 through Apr 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35614 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamed Javadi D.D.S., M.S., Inc. | Periodontics | Past | Accepting new patients |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 35614 | CA | Primary |
Addresses
Primary practice location
1615 Hill Road
Suite 4
Novato, CA 94947
Mailing address
1615 Hill Road Suite 4
Novato, CA 94947
Phone (415) 898-6660
NPI Registry JSON
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104902345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 HILL ROAD SUITE 4",
"city": "NOVATO",
"state": "CA",
"postal_code": "94947",
"telephone_number": "415-898-6660",
"fax_number": "415-898-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 HILL ROAD",
"address_2": "SUITE 4",
"city": "NOVATO",
"state": "CA",
"postal_code": "94947",
"telephone_number": "415-898-6660",
"fax_number": "415-898-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDER",
"first_name": "BRIAN",
"middle_name": "NEAL",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "35614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.