WEST LOS ANGELES DENTISTRY
NPI 1508923707
Clinic/Center - Dental in Los Angeles, CA
About West Los Angeles Dentistry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEST LOS ANGELES DENTISTRY (NPI 1508923707) is a healthcare organization registered as a dental in Los Angeles, California and active in the NPI registry since January 2007. The organization lists Robert Hazany, Dentist Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
West Los Angeles Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to West Los Angeles Dentistry, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 West Los Angeles Dentistry's NPI number?
The NPI number for West Los Angeles Dentistry is 1508923707. It was assigned to this organization in the NPPES registry on January 3, 2007.
Where is West Los Angeles Dentistry located?
West Los Angeles Dentistry is located at 11870 Santa Monica Blvd Suite 212, Los Angeles, CA 90025. The listed phone number is (310) 207-4900.
What is West Los Angeles Dentistry's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is West Los Angeles Dentistry enrolled in Medicare?
Yes. West Los Angeles Dentistry is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through West Los Angeles Dentistry?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to West Los Angeles Dentistry. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for West Los Angeles Dentistry was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# West Los Angeles Dentistry · NPI 1508923707
Dental organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1508923707 (Entity type: Organization)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Robert Hazany, DENTIST PARTNER
## Practice location
- **Address:** 11870 SANTA MONICA BLVD, SUITE 212, Los Angeles, CA 90025-2281
- **Phone:** (310) 207-4900 · **Fax:** (310) 207-8358
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1508923707) · Data from the CMS NPPES public registry.