Organization Active NPI

Sediq and Hanna Dental Corporation

  • Dentist
  • Mission Hills, CA
National Provider Identifier
1336607696
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SEDIQ AND HANNA DENTAL CORPORATION
Practice address
10306 Sepulveda Blvd
Mission Hills, CA 91345-2422
Phone
(818) 722-1576
Fax
(818) 459-4609
NPI assigned
Mar 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Tamim Sediq, DDS
Title
Owner
Phone
(818) 722-1576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

10306 Sepulveda Blvd
Mission Hills, CA 91345-2422

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8500

Other names 1

  • Mission Hills Modern Dentistry Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

10306 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 361-0115

Practitioners & affiliated clinicians

Practitioners 3

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": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1336607696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 SEPULVEDA BLVD",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452422",
            "telephone_number": "818-722-1576",
            "fax_number": "818-459-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDIQ AND HANNA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "SEDIQ",
        "authorized_official_first_name": "TAMIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-722-1576",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Hills Modern Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.