Vladimir Y. Korbatov, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

25564 Issued in CA

Practice address

1019 N. Fairfax Avenue, 2ND Floor
Los Angeles, CA 90046

Phone

(323) 654-2607

Fax

(323) 654-0602

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vladimir Korbatov,DDS, Dental Corp

  • Dentist
  • West Hollywood, CA
  • NPI 1366852808
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689895666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 N. FAIRFAX AVENUE, 2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "323-654-2607",
            "fax_number": "323-654-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 N. FAIRFAX AVENUE, 2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "323-654-2607",
            "fax_number": "323-654-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBATOV",
        "first_name": "VLADIMIR",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "25564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Suseelkanth Koppula, M.D.
• Gautam Ramani Korakavi
• Steven Kwasi Korang, MD, PHD
• Korawells Marriage Family Counseling Professional Corporatio
• James R. Korb, MD
• Anna Marie Korda
• Sarah Korda, MD
• Rose Casserly Kordahl
• Anna Marie Kordich-Sandoval, LMFT
• Kattayoun Kordy, MD

• 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 Jul 8, 2007; 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.