Organization Active NPI

Samoha Dental Corp

  • Dentist
  • Encino, CA
National Provider Identifier
1275895351
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60167 Issued in CA
Legal business name
SAMOHA DENTAL CORP
Practice address
5301 Newcastle Ave
Encino, CA 91316-3080
Phone
(818) 430-9207
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Shmuel Samoha, DDSNPI 1164729885
Title
Ceo
Phone
(818) 430-9207

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60167 CA Primary

Addresses

Primary practice location

5301 Newcastle Ave
Encino, CA 91316-3080

Mailing address

5805 White Oak Ave
#16714
Encino, CA 91316-3080

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": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1275895351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 WHITE OAK AVE",
            "address_2": "#16714",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 NEWCASTLE AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163080",
            "telephone_number": "818-430-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMOHA DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "SAMOHA",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-430-9207",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "60167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.