NPIMap

Organization Active NPI

Aleksey Fuks,D.D.S., a Professional Dental Corporation

Doing business as Hollywood Family Dentistry

  • General Practice Dentistry
  • West Hollywood, CA
National Provider Identifier
1346368404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42547 Issued in CA
Legal business name
ALEKSEY FUKS,D.D.S., A PROFESSIONAL DENTAL CORPORATION
Doing business as
Hollywood Family Dentistry
Practice address
8205 Santa Monica Blvd
Suite 12
West Hollywood, CA 90046-5967
Phone
(323) 650-1001
Fax
(323) 650-1633
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Aleksey Fuks, D.D.S.NPI 1154409001
Title
Owner
Phone
(323) 650-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42547 CA Primary

Addresses

Primary practice location

8205 Santa Monica Blvd
Suite 12
West Hollywood, CA 90046-5967

Mailing address

8205 Santa Monica Blvd
Suite 12
West Hollywood, CA 90046-5967
Phone (323) 650-1001

Other identifiers 1

IdentifierTypeStateIssuer
G94070MedicaidCA

Other names 1

  • Hollywood Family Dentistry Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346368404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 SANTA MONICA BLVD",
            "address_2": "SUITE 12",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465967",
            "telephone_number": "323-650-1001",
            "fax_number": "323-650-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 SANTA MONICA BLVD",
            "address_2": "SUITE 12",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465967",
            "telephone_number": "323-650-1001",
            "fax_number": "323-650-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEKSEY FUKS,D.D.S., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUKS",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-650-1001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G94070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.