Makan Tarzana Dental Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MAKAN TARZANA DENTAL CORPORATION

Practice address

18372 Clark St Ste 224
Tarzana, CA 91356-3559

Phone

(818) 996-1200

NPI assigned

Mar 24, 2022

Organization subpart

No

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

Authorized official

Name

Sirish Makan, D.D.S.NPI 1821386285

Title

Officer

Phone

(310) 872-8681

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sirish Makan, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Hayward, CA
  • NPI 1821386285
  Medicare reassignment Care Compare group NPD Authorized official
• Allen Chu, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Downey, CA
  • NPI 1003498346
  Medicare reassignment Care Compare group NPD
• Samuel Liu, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
  • NPI 1447697107
  Medicare reassignment Care Compare group NPD
• Payam Afzali, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
  • NPI 1326350851
  Medicare reassignment Care Compare group
• Ariel Farahi, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Rancho Palos Verdes, CA
  • NPI 1578919726
  Medicare reassignment NPD
• Jayini S Thakker, MD, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Loma Linda, CA
  • NPI 1386847648
  Medicare reassignment NPD
• Jennifer Paress Caroline, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
  • NPI 1447698519

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1700536810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 RUE LE CHARLENE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756372",
            "telephone_number": "310-872-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18372 CLARK ST STE 224",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563559",
            "telephone_number": "818-996-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKAN TARZANA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "MAKAN",
        "authorized_official_first_name": "SIRISH",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "310-872-8681",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Counseling
• Magnolia Counseling
• Maisner Medical LLC
• Megan Maureen Maixner
• Cynthia Makabi
• Kendra Makela
• Luiza Malahin
• Michael S. Malamed, M.D.
• Tyla Maldonado
• Deanna Katherine Malec, RN

• Oral and Maxillofacial Surgery (Dentist) in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.