Vladimir Korbatov,DDS, Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

25564 Issued in CA

Legal business name

VLADIMIR KORBATOV,DDS, DENTAL CORP

Practice address

1019 N Fairfax Ave FL 2
West Hollywood, CA 90046-6160

Phone

(323) 654-2607

Fax

(323) 654-0602

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Vladimir Y Korbatov, D.D.S.NPI 1689895666

Title

General Dentist/Owner

Phone

(323) 654-2607

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vladimir Y. Korbatov, D.D.S.

  • Dentist
  • Los Angeles, CA
  • NPI 1689895666
  NPD (past) Authorized official

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1366852808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 N FAIRFAX AVE FL 2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466160",
            "telephone_number": "323-654-2607",
            "fax_number": "323-654-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 N FAIRFAX AVE FL 2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466160",
            "telephone_number": "323-654-2607",
            "fax_number": "323-654-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLADIMIR KORBATOV,DDS, DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "KORBATOV",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "323-654-2607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "25564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.