Ryan Jacob Haimof, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

63286 Issued in CA

Practice address

15300 Ventura Blvd. #218
Sherman Oaks, CA 91403

Phone

(818) 995-7900

NPI assigned

Feb 9, 2014

Last updated

Aug 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1891119061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD STE 218",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035831",
            "telephone_number": "818-995-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD. #218",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-995-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIMOF",
        "first_name": "RYAN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Ha, OD
• Cecile Habash
• Angela Hagopian, M.A.
• Amna Haider, LMFT
• Brooke Hailey, PHD, MFT
• Hair and Scalp Recovery Center
• Sourena Haj-Mohamadi
• Haleness Home Health
• Erika Hall, PT, DPT
• Sonya Hallabyan, FNP-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.