Koebel Dental Office a Professional Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

22238 Issued in CA

Legal business name

KOEBEL DENTAL OFFICE A PROFESSIONAL DENTAL CORPORATION

Practice address

18911 Nordhoff St
35
Northridge, CA 91324-3750

Phone

(818) 701-5126

Fax

(818) 701-5279

NPI assigned

Mar 4, 2015

Organization subpart

No

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

Authorized official

Name

Arthur Koebel

Title

President

Phone

(818) 701-5126

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1356733075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18911 NORDHOFF ST",
            "address_2": "35",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243750",
            "telephone_number": "818-701-5126",
            "fax_number": "818-701-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18911 NORDHOFF ST",
            "address_2": "35",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243750",
            "telephone_number": "818-701-5126",
            "fax_number": "818-701-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOEBEL DENTAL OFFICE A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "KOEBEL",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-701-5126"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "22238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tali Klima
• Michael Charles Knapp, PH.D.
• Suna Ko, CMT
• Minas Kochumian, M.D.
• Meroujan Kodabakshian, D.D.S.
• Arthur F Koebel, DDS
• Fariba Kohanghadosh, DDS
• Uthaiah P Kokkalera, M.D.
• Madeline Kokosinski
• Yahaira F Kolb

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.