Individual provider Active NPI

Vachik Danoukh, D.M.D.

  • General Practice Dentistry
  • Studio City, CA
National Provider Identifier
1619167053
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56048 Issued in CA
Practice address
4067 Tujunga Ave Apt 302
Studio City, CA 91604-4813
Phone
(818) 919-3109
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56048 CA Primary

Addresses

Primary practice location

4067 Tujunga Ave Apt 302
Studio City, CA 91604-4813

Mailing address

4067 Tujunga Ave Apt 302
Studio City, CA 91604-4813
Phone (818) 919-3109

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190903003233 CA Practitioner - Oral Surgery 3072842863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56048CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vagr Dental Corp Apc General Practice Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1619167053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4067 TUJUNGA AVE APT 302",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044813",
            "telephone_number": "818-919-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4067 TUJUNGA AVE APT 302",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044813",
            "telephone_number": "818-919-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANOUKH",
        "first_name": "VACHIK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.