DR. IRVIN RICHARD MASSOTH (NPI# 1194803650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194803650 |
| Entity Type | Individual |
| Full Name | DR. IRVIN RICHARD MASSOTH |
| Credential | DDS, MSD |
| Practice Address |
5567 Reseda Blvd #100 Tarzana CA 91356-2674 |
| Practice Telephone | 8187051274 |
| Practice Fax Number | 8187056782 |
| Mailing Telephone | 8187051274 |
| Mailing Fax Number | 8187056782 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
28957 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | UNITED CONCORDIA-TAX ID | 709866 | 01 |
| Street Address |
5567 RESEDA BLVD #100 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-2674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418259 | Robert Steven Patterson | Chiropractor | 5567 Reseda Blvd, Ste 106, Tarzana, CA 91356-2648 | 2005-06-22 |
| 1720632318 | Agnes Patton | Specialist/Technologist | 5567 Reseda Blvd, Tarzana, CA 91356-2674 | 2019-07-31 |
| 1356872998 | Alexis Kusnier | Specialist/Technologist | 5567 Reseda Blvd, Suite 107, Tarzana, CA 91356-2674 | 2017-03-24 |
| 1457805228 | Kathryn Moulton | Specialist/Technologist | 5567 Reseda Blvd, Tarzana, CA 91356-2674 | 2016-08-10 |
| 1780138487 | Ivana Lyon | Specialist/Technologist | 5567 Reseda Blvd, 107, Tarzana, CA 91356-2674 | 2016-08-10 |
| 1326402603 | Darya Leylian | Speech-Language Pathologist | 5567 Reseda Blvd, Tarzana, CA 91356-2674 | 2016-04-12 |
| 1477938876 | Healthchoice Management Center, Inc. | Chiropractor | 5567 Reseda Blvd, 101, Tarzana, CA 91356-2674 | 2015-07-27 |
| 1669790887 | Jackie Kreitzman and Associates | Marriage & Family Therapist | 5567 Reseda Blvd, Suite 201, Tarzana, CA 91356-2674 | 2010-05-12 |
| 1235370768 | Pain Management Center Alejandro Katz Licensed Acupuncturist, Inc. | Chiropractor | 5567 Reseda Blvd, # 101, Tarzana, CA 91356-2674 | 2009-03-12 |
| 1538373436 | Eleanor S Field | Psychologist | 5567 Reseda Blvd, Suite 115, Tarzana, CA 91356-2674 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972817427 | I.richard Massoth, Dds, Lise Laflamme, Dmd | Dentist | 5567 Reseda Blvd Ste 100, Tarzana, CA 91356-2648 | 2010-07-27 |
| 1508944067 | Lise Laflamme | Dentist | 5567 Reseda Blvd, #100, Tarzana, CA 91356-2674 | 2006-11-01 |
| 1336151877 | Yaara Yaron Berdan | Dentist | 5525 Etiwanda Ave, Suite 104, Tarzana, CA 91356-3647 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.