Organization Active NPI

Sam I. Naim, DDS, a Professional Dental Corporation

  • Periodontics
  • Encino, CA
National Provider Identifier
1891547568
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SAM I. NAIM, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
16661 Ventura Blvd Ste 308
Encino, CA 91436-1919
Phone
(818) 336-1120
Fax
(818) 332-4312
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Dr. Sam Israel Naim, DDSNPI 1427242346
Title
Owner
Phone
(818) 336-1120

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 308
Encino, CA 91436-1919

Mailing address

16661 Ventura Blvd Ste 308
Encino, CA 91436-1919
Phone (818) 336-1120

National Provider Directory

National Provider Directory

Locations

16661 Ventura Blvd
Ste 308
Encino, CA 91436
Phone (818) 336-1120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1891547568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 308",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361919",
            "telephone_number": "818-336-1120",
            "fax_number": "818-332-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 308",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361919",
            "telephone_number": "818-336-1120",
            "fax_number": "818-332-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM I. NAIM, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "NAIM",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "ISRAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-336-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.