Active NPI
Lojyn Hallak Jr., DDS
- Dentist
- Fresno, CA
National Provider Identifier
1134314909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56172
- Practice address
- 5555 E Kings Canyon Rd
Su 101
Fresno, CA 93727-4532 - Phone
- (559) 255-1122
- Fax
- (559) 255-1122
- NPI assigned
- Sep 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 56172 | CA | Primary |
Addresses
Primary practice location
5555 E Kings Canyon Rd
Su 101
Fresno, CA 93727-4532
Mailing address
1410 Bradshire Dr
Columbus, OH 43220-2618
Phone (800) 417-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D56172 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56172 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozder Dental Corporation | Past | Accepting new patients | |
| Ozder Dental Corporation | Dentist | Past | Accepting new patients |
Interoperability endpoints
- lhallak@direct.westerndental.com
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.
-
- General Practice Dentistry
- Fresno, CA
- NPI 1346571809
-
- Oral and Maxillofacial Surgery (Dentist)
- Clovis, CA
- NPI 1639736762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1134314909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 BRADSHIRE DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202618",
"telephone_number": "800-417-4444",
"fax_number": "714-571-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 E KINGS CANYON RD",
"address_2": "SU 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937274532",
"telephone_number": "559-255-1122",
"fax_number": "559-255-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLAK",
"first_name": "LOJYN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D56172",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.