Organization Active NPI

Aleksey Fuks,D.D.S., Inc.

  • General Practice Dentistry
  • North Hollywood, CA
National Provider Identifier
1720106982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42547 Issued in CA
Legal business name
ALEKSEY FUKS,D.D.S., INC.
Practice address
11300 Magnolia Blvd
Suite 5
North Hollywood, CA 91601-3772
Phone
(818) 980-7222
Fax
(818) 508-1770
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Aleksey Fuks, D.D.S.
Title
Owner
Phone
(818) 980-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 42547 CA Primary

Addresses

Primary practice location

11300 Magnolia Blvd
Suite 5
North Hollywood, CA 91601-3772

Mailing address

11300 Magnolia Blvd
Suite 5
North Hollywood, CA 91601-3772
Phone (818) 980-7222

Other identifiers 1

IdentifierTypeStateIssuer
G89900-01MedicaidCA

Other names 1

  • Magnolia Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

11300 Magnolia Blvd
Unit 5
North Hollywood, CA 91601
Phone (818) 980-7222

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720106982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 MAGNOLIA BLVD",
            "address_2": "SUITE 5",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013772",
            "telephone_number": "818-980-7222",
            "fax_number": "818-508-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 MAGNOLIA BLVD",
            "address_2": "SUITE 5",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013772",
            "telephone_number": "818-980-7222",
            "fax_number": "818-508-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEKSEY FUKS,D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUKS",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-980-7222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G89900-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.