Individual provider Active NPI

Honey Balazadeh, DMD

  • General Practice Dentistry
  • Canyon Country, CA
National Provider Identifier
1407261308
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104524 Issued in CA
Practice address
18279 Soledad Canyon Rd
Canyon Country, CA 91387-3533
Phone
(661) 299-4440
NPI assigned
Jun 30, 2014
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 104524 CA Primary

Addresses

Primary practice location

18279 Soledad Canyon Rd
Canyon Country, CA 91387-3533

Mailing address

13529 Rand Dr
Sherman Oaks, CA 91423-4740
Phone (818) 808-2070

Other names 1

  • Honey Balazadeh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104524CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ebrahimi & Balazadeh Dental Corp General Practice CurrentSince Jul 2, 2023 Accepting new patients

Locations

18279 Soledad Canyon Rd
Canyon Country, CA 91387
Phone (661) 299-4440

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1407261308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13529 RAND DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234740",
            "telephone_number": "818-808-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18279 SOLEDAD CANYON RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873533",
            "telephone_number": "661-299-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAZADEH",
        "first_name": "HONEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HONEY",
            "last_name": "BALAZADEH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.