Highland Dental Group

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HIGHLAND DENTAL GROUP

Practice address

830 W Avenue L Ste 129
Lancaster, CA 93534-7210

Phone

(661) 418-0066

Fax

(661) 418-0266

NPI assigned

Jun 3, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sharona Kohanoff, DDS

Title

Dentist

Phone

(818) 355-3898

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1295359370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W AVENUE L STE 129",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347210",
            "telephone_number": "661-418-0266",
            "fax_number": "661-418-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W AVENUE L STE 129",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347210",
            "telephone_number": "661-418-0066",
            "fax_number": "661-418-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "KOHANOFF",
        "authorized_official_first_name": "SHARONA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-355-3898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285751057",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336461789",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• High Desert Counseling Services
• High Desert Gastroenterology Inc
• High Desert Health System Pharmacy
• High Desert Medical Group
• High Desert Urology Medical Group, Inc
• Benjamin Robbins Higier, DC
• Donna L Hilber, N.P.
• Adriana Marie Hill-Santander
• Anita Maria Hill, LICENSED VOCATIONAL
• Carmen Hill

• Dentist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.