NPIMap

Organization Active NPI

Canby Dental

  • General Practice Dentistry
  • Reseda, CA
National Provider Identifier
1659770618
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37850 Issued in CA
Legal business name
CANBY DENTAL
Practice address
18440 Sherman Way
Reseda, CA 91335
Phone
(818) 343-4024
Fax
(818) 342-0452
NPI assigned
Aug 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Mr. Babak Kohanoff, D.D.S
Title
Dentist
Phone
(818) 343-4024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 37850 CA Primary

Addresses

Primary practice location

18440 Sherman Way
Reseda, CA 91335

Mailing address

18440 Sherman Way
Reseda, CA 91335
Phone (818) 343-4024

National Provider Directory

National Provider Directory
Tax ID family
Babak Kohanoff DDS2 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

18440 Sherman Way
Reseda, CA 91335
Phone (818) 343-4024

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1659770618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18440 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-343-4024",
            "fax_number": "818-342-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18440 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-343-4024",
            "fax_number": "818-342-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANBY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "KOHANOFF",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-343-4024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.