Individual provider Active NPI

Kalid Nabil Hosn, DDS

  • Periodontics
  • Thousand Oaks, CA
National Provider Identifier
1447512280
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
61801 Issued in CA
Practice address
238 E Avenida de Los Arboles
Thousand Oaks, CA 91360-2930
Phone
(818) 813-3337
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Periodontics 1223P0300X 61801 CA Primary

Addresses

Primary practice location

238 E Avenida de Los Arboles
Thousand Oaks, CA 91360-2930

Mailing address

238 E Avenida de Los Arboles
Thousand Oaks, CA 91360-2930
Phone (818) 813-3337

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
I20210330001645 CA Practitioner - Dentist 1456695311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3362CAMDAcupuncturist
61801CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Reema Arnouk, D.D.S., Inc. CurrentSince Jan 1, 2021 Accepting new patients
Lim & Li Dental Corporation Past Accepting new patients

Locations

210 S Grand Ave
Ste 308
Glendora, CA 91741
Phone (626) 335-4287

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1447512280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 E AVENIDA DE LOS ARBOLES",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602930",
            "telephone_number": "818-813-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 E AVENIDA DE LOS ARBOLES",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602930",
            "telephone_number": "818-813-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSN",
        "first_name": "KALID",
        "middle_name": "NABIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "61801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.