DR. JACK ALBERT MAR (NPI# 1285972141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285972141 |
| Entity Type | Individual |
| Full Name | DR. JACK ALBERT MAR |
| Practice Address |
10918 Riverside Dr North Hollywood CA 91602-2210 |
| Practice Telephone | 8189806444 |
| Practice Fax Number | 8187612271 |
| Mailing Telephone | 8189806444 |
| Mailing Fax Number | 8187612271 |
| Enumeration Date | 2013-01-27 |
| Last Update Date | 2013-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 35000 | CA | Dental Providers |
| Street Address |
10918 RIVERSIDE DR |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91602-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396300448 | Carlota Eleonora Porras Perla | Dentist | 11442 Oxnard St Apt A, North Hollywood, CA 91606-4134 | 2019-05-03 |
| 1003302811 | Julieta Sanchez Martinez | Dentist | 12120 Saticoy St Ste C, North Hollywood, CA 91605-3055 | 2018-07-04 |
| 1336685858 | Victory Plaza Dental Group Dental Office of Farnaz Kohan Inc. | Dentist | 13065 Victory Blvd, North Hollywood, CA 91606-2925 | 2017-01-08 |
| 1114327004 | Galina Stolyar Professional Dental Corporation | Dentist | 11755 Victory Blvd Ste 101, North Hollywood, CA 91606-3447 | 2014-08-27 |
| 1083047898 | Lloyd Richard Taylor | Dentist | 13343 Sherman Way, North Hollywood, CA 91605-4442 | 2013-08-15 |
| 1285954354 | Wesam Alani | Dentist | 11324 Huston St, North Hollywood, CA 91601 | 2010-06-10 |
| 1144543497 | Premier Dental Clinic | Dentist | 4648 Lankershim Blvd, North Hollywood, CA 91602-1836 | 2010-03-01 |
| 1720315922 | Gary D Miller | Dentist | 12520 Magnolia Blvd., Suite #205, North Hollywood, CA 91607 | 2009-11-09 |
| 1932343647 | Timothy Leetrakul | Dentist | 12643 Sherman Way Ste D, North Hollywood, CA 91605-5271 | 2009-04-24 |
| 1811137003 | Arthur Castellanos | Dentist | 5631 Lankershim Blvd, North Hollywood, CA 91601-1723 | 2009-02-27 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91602 |
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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.