Active NPI
Henry Sobol, D.M.D
- Dentist
- Santa Clarita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62498
- Practice address
- 23005 Soledad Canyon Rd
Santa Clarita, CA 91350 - Phone
- (833) 377-6265
- Fax
- (888) 243-2435
- NPI assigned
- Jul 9, 2013
- Sex
- Male
- 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 | 62498 | CA | Primary |
Addresses
Primary practice location
23005 Soledad Canyon Rd
Santa Clarita, CA 91350
Mailing address
16911 San Fernand Mission Blvd
#192
Granada Hills, CA 91344-4250
Phone (833) 377-6265
Other practice location 1
510 W Avenue P
Palmdale, CA 93551-3737
Phone (661) 273-0226
Other practice location 2
26324 Bouquet Canyon Rd
Santa Clarita, CA 91350-2308
Phone (833) 377-6265
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 |
|---|---|---|---|
| 62498 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobol Dental Corporation | Current | Accepting new patients |
Locations
11024 Balboa Blvd
Granada Hills, CA 91344
Phone (508) 951-7818
26324 Bouquet Canyon Rd
Santa Clarita, CA 91350
Phone (661) 253-4000
23005 Soledad Canyon Rd
Saugus, CA 91350
Phone (818) 806-9617
Interoperability endpoints
- hsobol@direct.westerndental.com
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Santa Clarita, CA
- NPI 1750895132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1184065971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16911 SAN FERNAND MISSION BLVD",
"address_2": "#192",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913444250",
"telephone_number": "833-377-6265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23005 SOLEDAD CANYON RD",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "91350",
"telephone_number": "833-377-6265",
"fax_number": "888-243-2435"
}
],
"practiceLocations": [
{
"address_1": "510 W Avenue P",
"address_purpose": "LOCATION",
"city": "Palmdale",
"state": "CA",
"postal_code": "935513737",
"country_code": "US",
"telephone_number": "661-273-0226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26324 Bouquet Canyon Rd",
"address_purpose": "LOCATION",
"city": "Santa Clarita",
"state": "CA",
"postal_code": "913502308",
"country_code": "US",
"telephone_number": "833-377-6265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOBOL",
"first_name": "HENRY",
"name_prefix": "Mr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-09",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.