DR. JIRAVAT WANGWONGVIVAT D.D.S.
NPI 1205853157
Dentist in North Hollywood, CA

Active since July 16, 2006
12724 SHERMAN WAY, NORTH HOLLYWOOD, CA 91605(818) 765-8280(818) 765-8454 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jiravat Wangwongvivat D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JIRAVAT WANGWONGVIVAT D.D.S. (NPI 1205853157) is an individual dentist in North Hollywood, California, licensed in California (40201) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205853157
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JIRAVAT WANGWONGVIVATCredential: D.D.S.
Location Address12724 SHERMAN WAYNorth Hollywood, CA 91605-5031
Mailing Address12724 Sherman WayNorth Hollywood, CA 91605-5031 · (818) 765-8280 · Fax (818) 765-8454
Fax(818) 765-8454
Sole ProprietorNo
Enumeration DateJuly 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205853157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 40201
Definition
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.
12724 SHERMAN WAY, North Hollywood, CA 91605

Other Identifiers 2

OtherB40201CA · Denti-cal
Other240201CA · Delta Dental

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
12724 SHERMAN WAY
NORTH HOLLYWOOD, CA 91605
Dentist (General Practice)
12724 SHERMAN WAY
NORTH HOLLYWOOD, CA 91605

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 Jiravat Wangwongvivat's NPI number?

The NPI number for Jiravat Wangwongvivat is 1205853157. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Jiravat Wangwongvivat located?

Jiravat Wangwongvivat practices at 12724 Sherman Way, North Hollywood, CA 91605. The listed phone number is (818) 765-8280.

What is Jiravat Wangwongvivat's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jiravat Wangwongvivat was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.