Gennady Tabachnik

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61179 Issued in CA

Practice address

1320 N Sycamore Ave Apt 309
Los Angeles, CA 90028-7552

Phone

(323) 401-8685

NPI assigned

Sep 11, 2012

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

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1689924276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N SYCAMORE AVE APT 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287552",
            "telephone_number": "323-401-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N SYCAMORE AVE APT 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287552",
            "telephone_number": "323-401-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABACHNIK",
        "first_name": "GENNADY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-11",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Nguyen Ta, MSW
• Nhi Tu Ta, PHARMD
• Quan Ta, PHARMD
• Sony Alan Ta, MD
• Kevin Louis Taba
• Nadia Tabachnik, DDS
• Khosrow Tabaddor, M.D.
• Sharlet Tabafunda
• Harold A Tabaie, MD
• Whitney English Tabaie, RDN

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.