Dr Yury Geylikman PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

41255 Issued in CA

Legal business name

DR YURY GEYLIKMAN PC

Practice address

928 N San Fernando Blvd
Burbank, CA 91504-4350

Phone

(323) 656-9111

Fax

(323) 650-9669

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yury Geylikman, DMD; PHD

Title

Ceo

Phone

(323) 656-9111

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dr Yury B Geylikman a Professional Dental Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Yury B. Geylikman, a Professional Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lancaster, CA
  • NPI 1861682759
  NPD tax ID
• Dr. Yury B. Geylikman, a Professional Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Palmdale, CA
  • NPI 1942490834
  NPD tax ID
• Yury B. Geylikman, a Professional Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Valley Village, CA
  • NPI 1417070806
  NPD tax ID

Locations

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1851581748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 LAUREL CANYON BLVD",
            "address_2": "#388",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043709",
            "telephone_number": "323-656-9111",
            "fax_number": "323-650-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044350",
            "telephone_number": "323-656-9111",
            "fax_number": "323-650-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR YURY GEYLIKMAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "GEYLIKMAN",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-656-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD; PHD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "41255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B41255-05",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Burbank, CA
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.