Organization Active NPI

Donny Emanuel DMD a Prof Dental Corp

  • Dentist
  • Oxnard, CA
National Provider Identifier
1215074570
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46324 Issued in CA
Legal business name
DONNY EMANUEL DMD A PROF DENTAL CORP
Practice address
2379 N Oxnard BL
Oxnard, CA 93036
Phone
(805) 278-9499
Fax
(805) 779-9799
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Shawn Rabizadeh, DDS
Title
Pres
Phone
(805) 278-9499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46324 CA Primary

Addresses

Primary practice location

2379 N Oxnard BL
Oxnard, CA 93036

Mailing address

2379 N Oxnard BL
Oxnard, CA 93036
Phone (805) 278-9499

Other names 1

  • Oxnard Dental Group Other name

National Provider Directory

National Provider Directory

Locations

2379 N Oxnard Blvd
Oxnard, CA 93036
Phone (805) 278-9499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1215074570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 N OXNARD BL",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-278-9499",
            "fax_number": "805-779-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 N OXNARD BL",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-278-9499",
            "fax_number": "805-779-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNY EMANUEL DMD A PROF DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "RABIZADEH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "805-278-9499",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxnard Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.