Individual provider Active NPI

Awny Essam Guindy

  • General Practice Dentistry
  • Granada Hills, CA
National Provider Identifier
1407127749
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61033 Issued in CA
Practice address
17115 Chatsworth St Apt 101
Granada Hills, CA 91344-7614
Phone
(818) 294-4490
NPI assigned
Jan 18, 2012
Last updated
Jan 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61033 CA Primary

Addresses

Primary practice location

17115 Chatsworth St Apt 101
Granada Hills, CA 91344-7614

Mailing address

17115 Chatsworth St Apt 101
Granada Hills, CA 91344-7614
Phone (818) 294-4490

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
I20210317002501 CA Practitioner - Oral Surgery 8921414913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ya Guindy Dental Corporation CurrentSince Nov 18, 2020 Accepting new patients

Locations

18525 Roscoe Blvd
Northridge, CA 91324
Phone (818) 294-4490

Interoperability endpoints

  • Direct secure messaging: aguindy@direct.westerndental.com

Organizations & group practices 1

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": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1407127749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 CHATSWORTH ST APT 101",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447614",
            "telephone_number": "818-294-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 CHATSWORTH ST APT 101",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447614",
            "telephone_number": "818-294-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINDY",
        "first_name": "AWNY",
        "middle_name": "ESSAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-18",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.