Organization Active NPI

Northdrige Dental Group

  • Dentist
  • Northridge, CA
National Provider Identifier
1174673974
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
239847 Issued in CA
Legal business name
NORTHDRIGE DENTAL GROUP
Practice address
9801 Balboa Blvd
Northridge, CA 91325-1903
Phone
(818) 886-6100
Fax
(818) 886-5207
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Dr. Farshid Ariz, DDSNPI 1760842009
Title
Dentist
Phone
(818) 886-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 239847 CA Primary

Addresses

Primary practice location

9801 Balboa Blvd
Northridge, CA 91325-1903

Mailing address

9801 Balboa Blvd
Northridge, CA 91325-1903
Phone (818) 886-6100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1174673974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 BALBOA BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251903",
            "telephone_number": "818-886-6100",
            "fax_number": "818-886-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 BALBOA BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251903",
            "telephone_number": "818-886-6100",
            "fax_number": "818-886-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHDRIGE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "ARIZ",
        "authorized_official_first_name": "FARSHID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-886-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "239847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.