Active NPI
Dennis R. Hunt, D.D.S.
- Periodontics
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 41840
- Practice address
- 310 S Lake Ave
Lower Level
Pasadena, CA 91101-3540 - Phone
- (626) 432-4250
- Fax
- (626) 432-4270
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 41840 | CA | Primary |
Addresses
Primary practice location
310 S Lake Ave
Lower Level
Pasadena, CA 91101-3540
Mailing address
310 S Lake Ave
Lower Level
Pasadena, CA 91101-3540
Phone (626) 432-4250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190315001869 | CA | Practitioner - Oral Surgery | 3678813391 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A. Tsibel Dental Corp | Current | Accepting new patients | |
| Arkady S. Tsibel Dental Corp | Current | Accepting new patients | |
| Tsibel Dental Practice Inc. | Current | Accepting new patients | |
| Leon D. Roisman, D.M.D., Inc. | Periodontics | Past | Accepting new patients |
Locations
2211 E 7th St
Ste C
Long Beach, CA 90804
Phone (562) 439-6562
181 N Hill Ave
Pasadena, CA 91106
Phone (626) 796-0313
10181 Magnolia Ave
Riverside, CA 92503
Phone (951) 200-3753
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Long Beach Family Dentist
- Dental Clinic/Center
- Long Beach, CA
- NPI 1447012653
-
dba Walnut Hill Dental
- Dental Clinic/Center
- Pasadena, CA
- NPI 1013779222
-
dba Dental Specialist of Riverside
- Dental Clinic/Center
- Riverside, CA
- NPI 1871355081
-
dba Dental Plus - A Dental Group of Leon D. Roisman, D.M.D., Inc.
- Prosthodontics
- Pasadena, CA
- NPI 1912046871
Periodontics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396872149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S LAKE AVE",
"address_2": "LOWER LEVEL",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013540",
"telephone_number": "626-432-4250",
"fax_number": "626-432-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S LAKE AVE",
"address_2": "LOWER LEVEL",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013540",
"telephone_number": "626-432-4250",
"fax_number": "626-432-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "DENNIS",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "41840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.