Individual provider Active NPI

Amin Kohanbash, DDS

  • Dentist
  • Van Nuys, CA
National Provider Identifier
1831259605
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41745 Issued in CA
Practice address
7335 Van Nuys Blvd
101
Van Nuys, CA 91405-1998
Phone
(818) 780-7555
Fax
(818) 789-7575
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41745 CA Primary

Addresses

Primary practice location

7335 Van Nuys Blvd
101
Van Nuys, CA 91405-1998

Mailing address

5929 Wilbur Ave
Tarzana, CA 91356-1325
Phone (818) 458-6526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Sinairad DDS Inc Dentist Past Accepting new patients

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1831259605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 WILBUR AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561325",
            "telephone_number": "818-458-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 VAN NUYS BLVD",
            "address_2": "101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051998",
            "telephone_number": "818-780-7555",
            "fax_number": "818-789-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANBASH",
        "first_name": "AMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.