Renna Hazboun Zahr, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

62199 Issued in CA

Practice address

11980 San Vicente Blvd Suite 980
Los Angeles, CA 90095-1003

Phone

(310) 826-6535

NPI assigned

Jun 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Interoperability endpoints

• Direct secure messaging: hello@cuspdentistry.com
• Direct secure messaging: rhazboun37957@direct.uclahealth.org

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1578859807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20408 COULSON ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676828",
            "telephone_number": "267-738-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD SUITE 980",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951003",
            "telephone_number": "310-826-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHR",
        "first_name": "RENNA",
        "middle_name": "HAZBOUN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hello@cuspdentistry.com",
            "affiliation": "N",
            "address_1": "11980 San Vicente Blvd Suite 980",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900951003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zaher Pharmacy&Med
• Shila Zahir
• Deette Duke Zahn, M.D.
• Evan M Zahn, M.D
• Kenneth Zahner
• Shafiq Zaib, ND
• Lalaine Borja Zaide, PA-C
• Sameer Zaidi, MD
• Jessica Helen Zak, M.D.
• Yelena Zak, PA-C

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.