Hamlet Davari, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B42816 Issued in CA

Practice address

607 N Central Ave
301
Glendale, CA 91203-1804

Phone

(818) 242-4781

Fax

(818) 242-4147

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hamlet Davari DDS Inc

  • Dentist
  • Glendale, CA
  • NPI 1639477540
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1467519140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N BRAND BLVD",
            "address_2": "STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022567",
            "telephone_number": "818-242-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 N CENTRAL AVE",
            "address_2": "301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031804",
            "telephone_number": "818-242-4781",
            "fax_number": "818-242-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVARI",
        "first_name": "HAMLET",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B42816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Marie Darras, M.D.
• Lernik Darvanesian
• Susan Lee Dasta, D.O.
• Ani Datastanyan
• Ana Daugherty, MD
• Priyanka Dave, PHARMD.
• David a Chin DDS Apc
• David a. Thompson M.D. Inc
• David a. Thompson, M.D., Inc.
• David Abdelmalak, DDS, Inc

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.