NPIMap

Organization Active NPI

Zak Dental Corp

Doing business as Dr. Zak Long Beach Dental Care

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Long Beach, CA
National Provider Identifier
1558791079
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ZAK DENTAL CORP
Doing business as
Dr. Zak Long Beach Dental Care
Practice address
3620 Long Beach Blvd
Suite B6
Long Beach, CA 90807-4022
Phone
(562) 426-6458
Fax
(310) 734-1546
NPI assigned
Nov 19, 2013
Last updated
Nov 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Dr. Ilya Zak, D.D.S.
Title
Dentist/Owner/Ceo
Phone
(310) 706-5273

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

3620 Long Beach Blvd
Suite B6
Long Beach, CA 90807-4022

Mailing address

3620 Long Beach Blvd
Suite B6
Long Beach, CA 90807-4022
Phone (562) 426-6458

Other names 1

  • Dr. Zak Long Beach Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Zak Long Beach Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3620 Long Beach Blvd
Ste B6
Long Beach, CA 90807
Phone (562) 426-6458

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1558791079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 LONG BEACH BLVD",
            "address_2": "SUITE B6",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074022",
            "telephone_number": "562-426-6458",
            "fax_number": "310-734-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 LONG BEACH BLVD",
            "address_2": "SUITE B6",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074022",
            "telephone_number": "562-426-6458",
            "fax_number": "310-734-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAK DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "ZAK",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "DENTIST/OWNER/CEO",
        "authorized_official_telephone_number": "310-706-5273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Zak Long Beach Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.