Active NPI
Zak DDS Inc.
- Dentist
- San Diego, CA
National Provider Identifier
1972053361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38238
- Legal business name
- ZAK DDS INC.
- Practice address
- 7319 Clairemont Mesa Blvd
San Diego, CA 92111-1101 - Phone
- (858) 569-9652
- NPI assigned
- Oct 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ilya Zak, D.D.S.
- Title
- Dentist, Ceo
- Phone
- (310) 706-5273
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 38238 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 38238 | CA |
Addresses
Primary practice location
7319 Clairemont Mesa Blvd
San Diego, CA 92111-1101
Mailing address
10501 Lakewood Blvd
Downey, CA 90241-2709
Phone (310) 503-9277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38238 | Other | CA | DENTAL LICENSE # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476057600000",
"number": "1972053361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 LAKEWOOD BLVD",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902412709",
"telephone_number": "310-503-9277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7319 CLAIREMONT MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111101",
"telephone_number": "858-569-9652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZAK DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-10",
"last_updated": "2016-10-10",
"status": "A",
"authorized_official_last_name": "ZAK",
"authorized_official_first_name": "ILYA",
"authorized_official_title_or_position": "DENTIST, CEO",
"authorized_official_telephone_number": "310-706-5273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "38238",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38238",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE #",
"identifier": "38238",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.