Organization Active NPI

Lancaster Advanced Dental Inc.

  • Dental Clinic/Center
  • Lancaster, CA
National Provider Identifier
1225645633
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LANCASTER ADVANCED DENTAL INC.
Practice address
1745 W Avenue K Ste C
Lancaster, CA 93534-6504
Phone
(661) 723-5400
Fax
(661) 723-3944
NPI assigned
Sep 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Dr. Sharona Kohanoff, DDSNPI 1285751057
Title
Dentist
Phone
(661) 723-5400

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1745 W Avenue K Ste C
Lancaster, CA 93534-6504

Mailing address

18301 Rancho St
Tarzana, CA 91356-4600
Phone (818) 355-3898

National Provider Directory

National Provider Directory

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": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1225645633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 RANCHO ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564600",
            "telephone_number": "818-355-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 W AVENUE K STE C",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346504",
            "telephone_number": "661-723-5400",
            "fax_number": "661-723-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER ADVANCED DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "KOHANOFF",
        "authorized_official_first_name": "SHARONA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "661-723-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.