NPIMap

Organization Active NPI

Robert Hazany DDS a Professional Corp

  • Dentist
  • Canoga Park, CA
National Provider Identifier
1174679914
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39963 Issued in CA
Legal business name
ROBERT HAZANY DDS A PROFESSIONAL CORP
Practice address
20832 Roscoe Blvd
Suite #101
Canoga Park, CA 91306
Phone
(818) 998-7645
Fax
(818) 998-8457
NPI assigned
Jan 26, 2007
Last updated
Mar 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Robert Hazany, DDSNPI 1669740429
Title
Dentist
Phone
(818) 998-7645

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
Dentist 122300000X 39963 CA Primary

Addresses

Primary practice location

20832 Roscoe Blvd
Suite #101
Canoga Park, CA 91306

Mailing address

20832 Roscoe Blvd
Suite 101
Canoga Park, CA 91306
Phone (818) 998-7645

Other names 1

  • Westside Dental Care Other name

National Provider Directory

National Provider Directory

Locations

20832 Roscoe Blvd
Ste 101
Canoga Park, CA 91306
Phone (818) 998-7645

Practitioners & affiliated clinicians

Practitioners 1

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1174679914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20832 ROSCOE BLVD",
            "address_2": "SUITE 101",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91306",
            "telephone_number": "818-998-7645",
            "fax_number": "818-998-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20832 ROSCOE BLVD",
            "address_2": "SUITE #101",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91306",
            "telephone_number": "818-998-7645",
            "fax_number": "818-998-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HAZANY DDS A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "HAZANY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-998-7645",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.