Active NPI
Poolak Afshar Zand, D.D.S.
- Dentist
- Woodland Hills, CA
National Provider Identifier
1669658183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54993
- Practice address
- 19701 Ventura Blvd
Woodland Hills, CA 91364-2623 - Phone
- (818) 758-1805
- NPI assigned
- Jan 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 54993 | CA | Primary |
Addresses
Primary practice location
19701 Ventura Blvd
Woodland Hills, CA 91364-2623
Mailing address
212 E Providencia Ave
Burbank, CA 91502-1432
Phone (818) 845-7611
Other names 1
- Dr. Poolak Afshar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54993 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zandkarimi Dental | Past | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Burbank, CA
- NPI 1154196426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1669658183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E PROVIDENCIA AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021432",
"telephone_number": "818-845-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19701 VENTURA BLVD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642623",
"telephone_number": "818-758-1805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAND",
"first_name": "POOLAK",
"middle_name": "AFSHAR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-15",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "POOLAK",
"last_name": "AFSHAR",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.