Individual provider Active NPI

Firouzeh Banki, D.M.D.

  • General Practice Dentistry
  • Encino, CA
National Provider Identifier
1891812012
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44653 Issued in CA
Practice address
16633 Ventura Blvd
Suite 850
Encino, CA 91436-1801
Phone
(818) 990-5900
Fax
(818) 990-5907
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44653 CA Primary

Addresses

Primary practice location

16633 Ventura Blvd
Suite 850
Encino, CA 91436-1801

Mailing address

16633 Ventura Blvd
Suite 850
Encino, CA 91436-1801
Phone (818) 990-5900

Other identifiers 1

IdentifierTypeStateIssuer
D44653OtherCADENTI-CAL LICENSE NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891812012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 VENTURA BLVD",
            "address_2": "SUITE 850",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361801",
            "telephone_number": "818-990-5900",
            "fax_number": "818-990-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 VENTURA BLVD",
            "address_2": "SUITE 850",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361801",
            "telephone_number": "818-990-5900",
            "fax_number": "818-990-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKI",
        "first_name": "FIROUZEH",
        "name_prefix": "Ms.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL LICENSE NUMBER",
            "identifier": "D44653",
            "state": "CA"
        }
    ],
    "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 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.

Verify at the official NPI Registry.