Georgia Haddad, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

49896 Issued in CA

Practice address

1801 Solar Dr Ste 290
Oxnard, CA 93030-0155

Phone

(310) 720-2313

Fax

(805) 497-9914

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Georgia Radfar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haddad Medident LLC

  • General Practice Dentistry
  • Oxnard, CA
  • NPI 1568221463
  NPD Authorized official

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1407084288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR STE 290",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300155",
            "telephone_number": "310-720-2313",
            "fax_number": "805-497-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR STE 290",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300155",
            "telephone_number": "310-720-2313",
            "fax_number": "805-497-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "GEORGIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGIA",
            "last_name": "RADFAR",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mariam Michelle Gyulnazaryan, PA-C
• H and M Medical
• H. Allen Hooper, M.D. a Professional Corporation
• Richard Ha, D.O.
• Haddad Medident LLC
• Colleen Hafner
• Sara Lorena Hagen, PTA
• Hwi Hahn, D.D.S.
• Josephine Jeanette Halpert
• Nabeel Rashid Hameed, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.