DR. HARRY L DOUGHERTY JR. (NPI# 1417005083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417005083 |
| Entity Type | Individual |
| Full Name | DR. HARRY L DOUGHERTY JR. |
| Credential | D.D.S., M.S. |
| Practice Address |
4955 Van Nuys Blvd Suite 606 Sherman Oaks CA 91403-1801 |
| Practice Telephone | 8189866223 |
| Practice Fax Number | 8189866244 |
| Mailing Telephone | 8189866223 |
| Mailing Fax Number | 8189866244 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
33711 | CA | Dental Providers |
| Street Address |
4955 VAN NUYS BLVD SUITE 606 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356479 | Timothy James Stacy | Nurse Practitioner | 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, CA 91403-1801 | 2005-06-16 |
| 1265915367 | Jennifer Floyd | Physical Therapy Assistant | 4955 Van Nuys Blvd, Sherman Oaks, CA 91403-1801 | 2018-09-13 |
| 1801335609 | Sohail Parham A Prof Dental Corp | Dentist | 4955 Van Nuys Blvd, Ste 520, Sherman Oaks, CA 91403-1801 | 2017-02-14 |
| 1104368364 | Barbara Hibbits | Marriage & Family Therapist | 4955 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1801 | 2016-11-04 |
| 1790237113 | Healing Compounds Inc | Pharmacy | 4955 Van Nuys Blvd, Sherman Oaks, CA 91403-1801 | 2016-11-02 |
| 1467903716 | Addison Asc LLC | Clinic/Center | 4955 Van Nuys Blvd, Suite 719, Sherman Oaks, CA 91403-1801 | 2016-10-21 |
| 1942664834 | Think and Be Treatment Center | Counselor | 4955 Van Nuys Blvd, Ste. 210, Sherman Oaks, CA 91403-1801 | 2016-04-07 |
| 1265893242 | Irina Binder | Pharmacist | 4955 Van Nuys Blvd, Sherman Oaks, CA 91403-1801 | 2016-03-17 |
| 1568827145 | Harold Perlaza Dds A Professional Dental Corporation | Dentist | 4955 Van Nuys Blvd, #202, Sherman Oaks, CA 91403-1801 | 2015-12-23 |
| 1902273576 | Vidya Vijay Nair | Nurse Practitioner | 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, CA 91403-1801 | 2015-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891119061 | Ryan Jacob Haimof | Dentist | 15300 Ventura Blvd. #218, Sherman Oaks, CA 91403 | 2014-02-09 |
| 1952686180 | Torossian Dental Corporation | Dentist | 13367 Ventura Blvd, Sherman Oaks, CA 91423-3912 | 2011-10-19 |
| 1952442337 | Behrooz Zinati | Dentist | 4521 Sherman Oaks Ave # 201, Sherman Oaks, CA 91403-3807 | 2007-02-09 |
| 1962543108 | Roger Sherman Lim | Dentist | 13320 Riverside Drive, Suite 218, Sherman Oaks, CA 91423 | 2007-02-09 |
| 1124364237 | Bita Moalej | Dentist | 4335 Van Nuys Blvd, #102, Sherman Oaks, CA 91403-3727 | 2012-12-17 |
| 1982950275 | Linda Toth | Dentist | 13367 Ventura Blvd, Sherman Oaks, CA 91423-3912 | 2012-07-24 |
| 1194094581 | Linda K. Toth, Dds, Ms, Inc. | Dentist | 13367 Ventura Blvd, Sherman Oaks, CA 91423-3912 | 2011-12-14 |
| 1598985152 | Behrooz Zinati, Dds, Inc. | Dentist | 4521 Sherman Oaks Ave, #201, Sherman Oaks, CA 91403-3807 | 2007-04-26 |
| 1487703294 | Roger S Lim Dds Ms Inc. | Dentist | 13320 Riverside Drive, Suite 218, Sherman Oaks, CA 91423 | 2007-01-10 |
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| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
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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.