Active NPI
Julian Henry Zhitnitsky, DDS
- General Practice Dentistry
- Van Nuys, CA
National Provider Identifier
1477653368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40329
- Practice address
- 7220 Woodman Ave
Suite 101
Van Nuys, CA 91405 - Phone
- (818) 785-8388
- Fax
- (818) 785-5514
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 40329 | CA | Primary |
Addresses
Primary practice location
7220 Woodman Ave
Suite 101
Van Nuys, CA 91405
Mailing address
7220 Woodman Ave
Suite 101
Van Nuys, CA 91405
Phone (818) 785-8388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G92011 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160711001249 | CA | Order and Referring Only - Dentist | 6103011010 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julian Zhitnitsky DDS Inc | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Van Nuys, CA
- NPI 1821289737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1477653368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7220 WOODMAN AVE",
"address_2": "SUITE 101",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-785-8388",
"fax_number": "818-785-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 WOODMAN AVE",
"address_2": "SUITE 101",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-785-8388",
"fax_number": "818-785-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHITNITSKY",
"first_name": "JULIAN",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "40329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G92011",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.