I ZAK DDS PROF DENTAL CORP
NPI 1174263974
Dentist in Simi Valley, CA
About I Zak Dds Prof Dental Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
I ZAK DDS PROF DENTAL CORP (NPI 1174263974) is a healthcare organization registered as a dentist in Simi Valley, California and active in the NPI registry since March 2022. The organization lists Ilya Zak, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
I Zak Dds Prof Dental Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to I Zak DDS Prof Dental Corp, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (20)
Irving, NY 14081
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is I Zak Dds Prof Dental Corp's NPI number?
The NPI number for I Zak Dds Prof Dental Corp is 1174263974. It was assigned to this organization in the NPPES registry on March 30, 2022. The provider is also known as Dr. Zak Family Dentistry.
Where is I Zak Dds Prof Dental Corp located?
I Zak Dds Prof Dental Corp is located at 3355 Cochran St Ste 206, Simi Valley, CA 93063. The listed phone number is (805) 520-1100.
What is I Zak Dds Prof Dental Corp's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is I Zak Dds Prof Dental Corp enrolled in Medicare?
Yes. I Zak Dds Prof Dental Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through I Zak Dds Prof Dental Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to I Zak Dds Prof Dental Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dentist (19) and Oral Surgery (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for I Zak Dds Prof Dental Corp was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# I Zak Dds Prof Dental Corp · NPI 1174263974
Dentist organization in Simi Valley, California. Organization record, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1174263974 (Entity type: Organization)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Dentist · taxonomy 122300000X
- **Also known as:** Dr. Zak Family Dentistry (Other Name)
- **Organization subpart:** No
- **Authorized official:** Ilya Zak, PRESIDENT/CEO
## Practice location
- **Address:** 3355 COCHRAN ST STE 206, Simi Valley, CA 93063-2532
- **Phone:** (805) 520-1100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dentist (19), Oral Surgery (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174263974) · Data from the CMS NPPES public registry.