NPIMap

Organization Active NPI

Genuine Dental Smiles Northridge

  • Dentist
  • Northridge, CA
National Provider Identifier
1801227491
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61121 Issued in CA
Legal business name
GENUINE DENTAL SMILES NORTHRIDGE
Practice address
9535 Reseda Blvd Ste 105
Northridge, CA 91324-6023
Phone
(818) 709-6464
NPI assigned
Dec 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Sarah Barkhordar
Title
Office Manager
Phone
(818) 709-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 61121 CA Primary

Addresses

Primary practice location

9535 Reseda Blvd Ste 105
Northridge, CA 91324-6023

Mailing address

9535 Reseda Blvd Ste 105
Northridge, CA 91324-6023

National Provider Directory

National Provider Directory

Locations

9535 Reseda Blvd
Ste 105
Northridge, CA 91324
Phone (818) 709-6464

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": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1801227491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD STE 105",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD STE 105",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246023",
            "telephone_number": "818-709-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE DENTAL SMILES NORTHRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "BARKHORDAR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-709-6464"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.