Tabib Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45203 Issued in CA

Legal business name

TABIB DENTAL CORPORATION

Practice address

6900 Reseda Blvd
Ste#C
Reseda, CA 91335

Phone

(818) 705-0200

Fax

(818) 705-7430

NPI assigned

Oct 7, 2014

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kamran Tabib, D.D.S., F.A.G.D.NPI 1376762393

Title

President

Phone

(818) 705-0200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kamran Tabib

  • Dentist
  • Reseda, CA
  • NPI 1376762393
  Authorized official Same address or phone

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1942603709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 RESEDA BLVD",
            "address_2": "STE#C",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-705-0200",
            "fax_number": "818-705-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 RESEDA BLVD",
            "address_2": "STE#C",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-705-0200",
            "fax_number": "818-705-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABIB DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "TABIB",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-705-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., F.A.G.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Wayne Sushinsky, PH.D.
• Shana Swimmer, PH.D.
• Jennifer D Szabo, M.S, CCC-SLP
• Justina Taban, LMFT
• Nadya Natalia Tabarez Gonzalez
• Kamran Tabib
• David Taftian, D.O.
• Sarah Tallentire, PSY.D.
• Tam Tran DDS Inc
• Mercedes Tamayo, MENTAL HEALTH WORKER

• General Practice Dentistry in Reseda, CA
• Providers in Reseda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.