Organization Active NPI

Michael Rabizadeh, D.D.S., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Reseda, CA
National Provider Identifier
1780123018
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DDS100986 Issued in CA
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

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Michael Omid Rabizadeh, D.D.SNPI 1245777143
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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.