Organization Active NPI

Dr Roland Yakubov DDS Dental Corporation

  • General Practice Dentistry
  • North Hollywood, CA
National Provider Identifier
1538490339
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57064 Issued in CA
Legal business name
DR ROLAND YAKUBOV DDS DENTAL CORPORATION
Practice address
6428 Bellingham Ave
North Hollywood, CA 91606-1402
Phone
(818) 985-1407
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Roland Yakubov, DDS
Title
President
Phone
(818) 726-8534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 57064 CA Primary

Addresses

Primary practice location

6428 Bellingham Ave
North Hollywood, CA 91606-1402

Mailing address

827 N Hollywood Way Apt 448
Burbank, CA 91505-2814
Phone (818) 726-5834

National Provider Directory

National Provider Directory

Locations

6428 Bellingham Ave
North Hollywood, CA 91606
Phone (818) 726-8534

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1538490339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N HOLLYWOOD WAY APT 448",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052814",
            "telephone_number": "818-726-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 BELLINGHAM AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061402",
            "telephone_number": "818-985-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROLAND YAKUBOV DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-726-8534",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.