Individual provider Active NPI

Gabor Adorjan, DMD

  • General Practice Dentistry
  • Woodland Hills, CA
National Provider Identifier
1780004861
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62639 Issued in CA
Practice address
5300 Topanga Canyon Blvd
Woodland Hills, CA 91364-1718
Phone
(818) 886-1076
Fax
(818) 678-9863
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62639 CA Primary

Addresses

Primary practice location

5300 Topanga Canyon Blvd
Woodland Hills, CA 91364-1718

Mailing address

17139 Vose St
Lake Balboa, CA 91406-3631
Phone (818) 723-6638

Other names 1

  • Dr. Gabe Adorjan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808001567 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6103110572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62639CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gabe Adorjan DMD Inc. Current Accepting new patients

Locations

5300 Topanga Canyon Blvd
Woodland Hills, CA 91364
Phone (818) 886-1076

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1780004861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17139 VOSE ST",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914063631",
            "telephone_number": "818-723-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641718",
            "telephone_number": "818-886-1076",
            "fax_number": "818-678-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADORJAN",
        "first_name": "GABOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABE",
            "last_name": "ADORJAN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.