Robert Hazany, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

39963 Issued in CA

Practice address

20832 Roscoe Blvd #101
Canoga Park, CA 91306

Phone

(818) 998-7645

NPI assigned

Dec 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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

Practice roles

Locations

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.

• West Los Angeles Dentistry

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1508923707
  Medicare reassignment NPD Authorized official
• Robert Hazany DDS a Professional Corp

  • Dentist
  • Canoga Park, CA
  • NPI 1174679914
  NPD (past) Authorized official
• 6TH Street Family Dental Group

  • Dentist
  • Los Angeles, CA
  • NPI 1194879627
  NPD

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1669740429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20832 ROSCOE BLVD #101",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91306",
            "telephone_number": "818-998-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20832 ROSCOE BLVD #101",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91306",
            "telephone_number": "818-998-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZANY",
        "first_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1174679914",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Hausman
• Regina Hawkins
• Ted Hawson
• Nicole Hayrapetian
• Maya Haywood
• Paniz Hazrati, RPH
• Head Crown & Wealth Incorporated
• Health 1St Home Health Inc
• Health Union Home Health Inc
• Healthcare Plus Supplies LLC

• Dentist in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.