Steven R. Spivak, DMD, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62528 Issued in CA

Legal business name

STEVEN R. SPIVAK, DMD, INC

Practice address

13114 Sherman Way
North Hollywood, CA 91605-4645

Phone

(818) 982-6162

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Spivak, DMDNPI 1861825895

Title

Ceo

Phone

(818) 687-3111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Robert Spivak, D.M.D.

  • General Practice Dentistry
  • North Hollywood, CA
  • NPI 1861825895
  Authorized official Same address or phone

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1750780110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 RHODES AVE",
            "address_2": "102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071669",
            "telephone_number": "818-687-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13114 SHERMAN WAY",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054645",
            "telephone_number": "818-982-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R. SPIVAK, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "SPIVAK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-687-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlen Carl Stepanian, BUSINESS
• Sura E Stephan, RPH
• Stephen M. Levine MD., Apc (Physicians Home Services Medical Group of Ca.)
• Megan Elizabeth Steron
• Steve Braslavsky DDS Inc
• Shawn Stewart
• Susan Stewart, CADC-II
• Hanny Stillions
• Randall Murray Stitt, D.C.
• Andre Stojka

• General Practice Dentistry in North Hollywood, CA
• Providers in North Hollywood, 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 Aug 21, 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.