Active NPI
Michael Rabizadeh, D.D.S., P.C.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Reseda, CA
National Provider Identifier
1780123018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DDS100986
- Legal business name
- MICHAEL RABIZADEH, D.D.S., P.C.
- Practice address
- 19409 Stagg St
Reseda, CA 91335-2351 - Phone
- (818) 723-4337
- NPI assigned
- Feb 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Omid Rabizadeh, D.D.S
- Title
- President
- Phone
- (818) 723-4337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DDS100986 | CA | Primary |
Addresses
Primary practice location
19409 Stagg St
Reseda, CA 91335-2351
Mailing address
19409 Stagg St
Reseda, CA 91335-2351
Phone (818) 723-4337
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Reseda, CA
- NPI 1245777143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487548800000",
"number": "1780123018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19409 STAGG ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913352351",
"telephone_number": "818-723-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19409 STAGG ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913352351",
"telephone_number": "818-723-4337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL RABIZADEH, D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-20",
"last_updated": "2017-02-20",
"status": "A",
"authorized_official_last_name": "RABIZADEH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "OMID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-723-4337",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "DDS100986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.