NPIMap

Organization Active NPI

Dr Roland Yakubov DDS Dental Corporation

Doing business as CDC Dental Center

  • General Practice Dentistry
  • North Hollywood, CA
National Provider Identifier
1235563396
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57065 Issued in CA
Legal business name
DR ROLAND YAKUBOV DDS DENTAL CORPORATION
Doing business as
CDC Dental Center
Practice address
6428 Bellingham Ave
North Hollywood, CA 91606-1402
Phone
(818) 726-8534
NPI assigned
Aug 26, 2013
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Dr. Roland Yakubov, DMDNPI 1023268513
Title
President
Phone
(818) 726-8534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 57065 CA Primary

Addresses

Primary practice location

6428 Bellingham Ave
North Hollywood, CA 91606-1402

Mailing address

6430 Bellingham Ave
North Hollywood, CA 91606-1402
Phone (818) 985-1148

Other names 1

  • CDC Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

6428 Bellingham Ave
North Hollywood, CA 91606
Phone (818) 726-8534

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1235563396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 BELLINGHAM AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061402",
            "telephone_number": "818-985-1148",
            "fax_number": "818-985-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 BELLINGHAM AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061402",
            "telephone_number": "818-726-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROLAND YAKUBOV DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-726-8534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDC Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.