Organization Active NPI

Larry V. Hamer, D.D.S. Prof Corp

Doing business as Dental Planet

  • Dentist
  • San Fernando, CA
National Provider Identifier
1730305111
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43604 Issued in CA
Legal business name
LARRY V. HAMER, D.D.S. PROF CORP
Doing business as
Dental Planet
Practice address
800 San Fernando Rd
San Fernando, CA 91340-3374
Phone
(818) 183-8660
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Larry Hamer, D.D.S.
Title
President
Phone
(818) 838-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 43604 CA Primary

Addresses

Primary practice location

800 San Fernando Rd
San Fernando, CA 91340-3374

Mailing address

777Truman St., Suite 107
San Fernando, CA 91340-3374
Phone (818) 183-8660

Other identifiers 1

IdentifierTypeStateIssuer
G91808-01MedicaidCA

Other names 1

  • Dental Planet Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Planet2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1730305111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777TRUMAN ST., SUITE 107",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403374",
            "telephone_number": "818-183-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAN FERNANDO RD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403374",
            "telephone_number": "818-183-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY V. HAMER, D.D.S. PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "HAMER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-838-6600",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G91808-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Planet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 15, 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.