Organization Active NPI

Hattar Dental Professional Corporation

  • Dentist
  • Burbank, CA
National Provider Identifier
1851416333
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53599 Issued in CA
Legal business name
HATTAR DENTAL PROFESSIONAL CORPORATION
Practice address
1319 N San Fernando Blvd
Burbank, CA 91504-4236
Phone
(818) 557-2299
Fax
(818) 557-8749
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elaine George Hattar, DDSNPI 1629265087
Title
Presedent
Phone
(661) 255-3459

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53599 CA Primary

Addresses

Primary practice location

1319 N San Fernando Blvd
Burbank, CA 91504-4236

Mailing address

27409 Coldwater Dr
Valencia, CA 91354-1865
Phone (661) 255-3459

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851416333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27409 COLDWATER DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541865",
            "telephone_number": "661-255-3459",
            "fax_number": "661-255-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044236",
            "telephone_number": "818-557-2299",
            "fax_number": "818-557-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTAR DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATTAR",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "661-255-3459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.