Organization Active NPI

Svetlana Hamer a Prof Dental Corp

  • Pediatric Dentistry
  • San Fernando, CA
National Provider Identifier
1710177514
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
43605 Issued in CA
Legal business name
SVETLANA HAMER A PROF DENTAL CORP
Practice address
777 Truman St., Suite 107
San Fernando, CA 91340-3374
Phone
(818) 838-1313
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Svetlana Hamer, D.D.S.
Title
President
Phone
(818) 838-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 43605 CA Primary

Addresses

Primary practice location

777 Truman St., Suite 107
San Fernando, CA 91340-3374

Mailing address

777 Truman St., Suite 107
San Fernando, CA 91340-3374

National Provider Directory

National Provider Directory

Locations

777 Truman St
Ste 107
San Fernando, CA 91340
Phone (703) 244-3577

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1710177514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 TRUMAN ST., SUITE 107",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 TRUMAN ST., SUITE 107",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403374",
            "telephone_number": "818-838-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVETLANA HAMER A PROF DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "HAMER",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-838-1313",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "43605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.