Alan Ray Brody, D.D.S,M.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21693 Issued in CA

Practice address

12520 Magnolia Blvd Ste 202
Valley Village, CA 91607-2344

Phone

(818) 762-2682

Fax

(818) 762-3490

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul D Zau DDS Inc

  • Dental Clinic/Center
  • Valley Village, CA
  • NPI 1164033866
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194811992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 MAGNOLIA BLVD STE 202",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072344",
            "telephone_number": "818-762-2682",
            "fax_number": "818-762-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 MAGNOLIA BLVD STE 202",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072344",
            "telephone_number": "818-762-2682",
            "fax_number": "818-762-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "ALAN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S,M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orit Bornstein, R.P.T.
• Harut Chris Boyadjian, NP
• Jamilet Bran
• Bright Haven Psychology PC
• Brightmind Sleep Center Inc
• Emanuela Buchalter, LMFT
• Jenna Bush, BCBA
• Yasmin Cabrera
• Jeannine Lemare Calaba, PSY.D.
• California Ara Clinic Inc

• General Practice Dentistry in Valley Village, CA
• Providers in Valley Village, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.