Individual provider Active NPI

Alan Lavian, D.D.S

  • General Practice Dentistry
  • Oxnard, CA
National Provider Identifier
1306239702
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
101752 Issued in CA
Practice address
967 W 7TH St
Oxnard, CA 93030-6756
Phone
(805) 334-1066
NPI assigned
Mar 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901021995 MI
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 101752 CA Primary

Addresses

Primary practice location

967 W 7TH St
Oxnard, CA 93030-6756

Mailing address

134 N Clark Dr
West Hollywood, CA 90048-3056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160323000085 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5294032033
I20180524000442 MI Order and Referring Only - DentistPractitioner - Dentist 5294032033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101752CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Laviandds General Practice Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1306239702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N CLARK DR",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900483056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 W 7TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306756",
            "telephone_number": "805-334-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIAN",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021995",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.