Active NPI
Ilanit Henn, D.C, B.A, I.M.E
- Chiropractor
- Tarzana, CA
National Provider Identifier
1326039207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27791
- Practice address
- 18719 Calvert St
Tarzana, CA 91335-6812 - Phone
- (818) 385-0385
- Fax
- (310) 402-8167
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC27791 | CA | |
| Sports Physician Chiropractor | 111NS0005X | DC27791 | CA | |
| Chiropractor | 111N00000X | DC27791 | CA | Primary |
Addresses
Primary practice location
18719 Calvert St
Tarzana, CA 91335-6812
Mailing address
4924 Balboa Blvd
Encino, CA 91316-3402
Phone (818) 385-0385
Other practice location 1
17337 Ventura Blvd
Encino, CA 91316-4924
Phone (818) 385-0385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27791 | CA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545782400000",
"number": "1326039207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4924 BALBOA BLVD",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163402",
"telephone_number": "818-385-0385",
"fax_number": "310-402-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18719 CALVERT ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913356812",
"telephone_number": "818-385-0385",
"fax_number": "310-402-8167"
}
],
"practiceLocations": [
{
"address_1": "17337 Ventura Blvd",
"address_purpose": "LOCATION",
"city": "Encino",
"state": "CA",
"postal_code": "913164924",
"country_code": "US",
"telephone_number": "818-385-0385",
"fax_number": "818-385-0260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENN",
"first_name": "ILANIT",
"name_prefix": "Dr.",
"credential": "D.C, B.A, I.M.E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2018-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC27791",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC27791",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.