Active NPI
Arthur F Koebel, DDS
- Dentist
- Northridge, CA
National Provider Identifier
1851480784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D22238
- Practice address
- 18911 Nordhoff St
#35
Northridge, CA 91324-3784 - Phone
- (818) 701-5126
- Fax
- (818) 701-5279
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D22238 | CA | Primary |
Addresses
Primary practice location
18911 Nordhoff St
#35
Northridge, CA 91324-3784
Mailing address
18911 Nordhoff St Ste 35
Northridge, CA 91324-3784
Phone (818) 701-5126
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D22238 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851480784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18911 NORDHOFF ST STE 35",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913243784",
"telephone_number": "818-701-5126",
"fax_number": "818-701-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18911 NORDHOFF ST",
"address_2": "#35",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913243784",
"telephone_number": "818-701-5126",
"fax_number": "818-701-5279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEBEL",
"first_name": "ARTHUR",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "D22238",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.