Individual provider Active NPI

Dennis R. Hunt, D.D.S.

  • Periodontics
  • Pasadena, CA
National Provider Identifier
1396872149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
41840 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315001869 CA Practitioner - Oral Surgery 3678813391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A. Tsibel Dental Corp CurrentSince Jan 28, 2024 Accepting new patients
Arkady S. Tsibel Dental Corp CurrentSince Jan 28, 2024 Accepting new patients
Tsibel Dental Practice Inc. CurrentSince Jan 28, 2024 Accepting new patients
Leon D. Roisman, D.M.D., Inc. Periodontics PastSince Dec 8, 2018 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.

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

Verify at the official NPI Registry.