NPIMap

Organization Active NPI

Ken N Habashy Ddsinc

  • Dentist
  • San Fernando, CA
National Provider Identifier
1891816807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35470 Issued in CA
Legal business name
KEN N HABASHY DDSINC
Practice address
1230 San Fernando Rd
Suite B
San Fernando, CA 91340-3238
Phone
(818) 365-1245
Fax
(818) 365-7905
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ken Nader Habashy, DDSNPI 1780835520
Title
Ownerdentist
Phone
(818) 365-1245

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 35470 CA Primary

Addresses

Primary practice location

1230 San Fernando Rd
Suite B
San Fernando, CA 91340-3238

Mailing address

1230 San Fernando Rd
Suite B
San Fernando, CA 91340-3238
Phone (818) 365-1245

Other names 1

  • santa maria dental center Doing business as

National Provider Directory

National Provider Directory

Locations

1230 San Fernando Rd
Ste B
San Fernando, CA 91340
Phone (818) 365-1245

Practitioners & affiliated clinicians

Practitioners 2

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891816807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SAN FERNANDO RD",
            "address_2": "SUITE B",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403238",
            "telephone_number": "818-365-1245",
            "fax_number": "818-365-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SAN FERNANDO RD",
            "address_2": "SUITE B",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403238",
            "telephone_number": "818-365-1245",
            "fax_number": "818-365-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN N HABASHY DDSINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HABASHY",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "NADER",
        "authorized_official_title_or_position": "OWNERDENTIST",
        "authorized_official_telephone_number": "818-365-1245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "santa maria dental center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.