Active NPI
Katrin a Azizzadeh, DDS
- Dentist
- Encino, CA
National Provider Identifier
1144525247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39597
- Practice address
- 4126 Green Meadow CT
Encino, CA 91316-4421 - Phone
- (818) 343-4294
- NPI assigned
- Jan 20, 2011
- Last updated
- Jan 20, 2011
- 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 | 39597 | CA | Primary |
Addresses
Primary practice location
4126 Green Meadow CT
Encino, CA 91316-4421
Mailing address
4126 Green Meadow CT
Encino, CA 91316-4421
Phone (818) 343-4294
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
Interoperability endpoints
- kazizzadeh@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1144525247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4126 GREEN MEADOW CT",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164421",
"telephone_number": "818-343-4294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4126 GREEN MEADOW CT",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164421",
"telephone_number": "818-343-4294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZIZZADEH",
"first_name": "KATRIN A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
- Sadaf Azami, MA, BCBA
- Daniel Azani, D.D.S., M.S.
- Azin Barzegar DMD Inc
- Ali M Azizi, MD
- Kimia Azizi, DDS
- Mary Azoian, DC
- Sarah Azoulay, AMFT
- B Abadi DMD Inc (Dr. Abadi & Associates Dental Office)
- B. David Massaband DPM Inc (Tower Podiatry-the Foot and Ankle Surgical Institute)
- B. David Massaband, DPM, Inc (Tower Podiatry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.