Individual provider Active NPI

Henry Sobol, D.M.D

  • Dentist
  • Santa Clarita, CA
National Provider Identifier
1184065971
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62498 Issued in CA
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

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
62498CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sobol Dental Corporation CurrentSince Dec 22, 2019 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.