Hanita Sidana, DMD, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53336 Issued in CA

Legal business name

HANITA SIDANA, DMD, INC.

Practice address

7138 Shoup Ave Ste B7&B8
West Hills, CA 91307-2383

Phone

(818) 883-7070

Fax

(818) 883-7031

NPI assigned

Dec 5, 2006

Organization subpart

No

Name

Dr. Hanita Sidana, D.M.D

Title

President

Phone

(818) 825-8111

Locations

• Gentle Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2014.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1124186432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23852 STAGG ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913046100",
            "telephone_number": "818-825-8111",
            "fax_number": "818-337-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 SHOUP AVE STE B7&B8",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072383",
            "telephone_number": "818-883-7070",
            "fax_number": "818-883-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANITA SIDANA, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "SIDANA",
        "authorized_official_first_name": "HANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-825-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93684-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in West Hills, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.