MR. KEITH L RADACK (NPI# 1609915412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609915412 |
Entity Type | Individual |
Full Name | MR. KEITH L RADACK |
Credential | DR. |
Practice Address |
2625 W Alameda Ave Suite 200 Burbank CA 91505 |
Practice Telephone | 8188452616 |
Practice Fax Number | 8188453359 |
Mailing Telephone | 8188452616 |
Mailing Fax Number | 8188453359 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2013-10-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D23024 | CA | Dental Providers |
Street Address |
2625 W ALAMEDA AVE SUITE 200 |
City | BURBANK |
State | CA |
Zip Code | 91505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174520761 | Shailesh S Patel | Internal Medicine | 2625 W Alameda Ave, Ste 506, Burbank, CA 91505-4816 | 2005-06-28 |
1740622232 | Mark Mikhael Inc | Orthopaedic Surgery | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2013-07-24 |
1871838367 | Justin Farrell Cahn | Physician Assistant | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2012-12-10 |
1205171477 | Krystle Fernandez | Licensed Practical Nurse | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2012-11-29 |
1487905808 | Sofise Chen | Dentist | 2625 W Alameda Ave, Suite 216, Burbank, CA 91505-4806 | 2012-09-25 |
1922359603 | Sofise Chen, D.d.s. A Professional Dental Corporation | Clinic/Center | 2625 W Alameda Ave, 216, Burbank, CA 91505-4806 | 2012-09-21 |
1639457138 | Lakshmidevi V. Putta, Md Inc | Family Medicine | 2625 W Alameda Ave, Suite 424, Burbank, CA 91505-4806 | 2011-08-01 |
1679873665 | Robert Stephen Neches | Marriage & Family Therapist | 2625 W Alameda Ave, Suite 514, Burbank, CA 91505-4806 | 2010-10-25 |
1790002871 | Shant M Karayan | Chiropractor | 2625 W Alameda Ave, Suite 310, Burbank, CA 91505-4806 | 2010-04-28 |
1841528957 | Tejas Patel, Md A Medical Corporation | Internal Medicine | 2625 W Alameda Ave, Ste 412, Burbank, CA 91505-4806 | 2009-12-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
Find all providers in zip 91505 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
1124184098 | Raffi Margossian, D.d.s., M.s.d., Inc. | Dentist | 2701 W Alameda Ave Ste 308, Burbank, CA 91505-4408 | 2006-12-28 |
1356354922 | Dennis G Smiler | Dentist | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
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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.