DR. CRAIG ALLEN GLICK (NPI# 1508933912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508933912 |
| Entity Type | Individual |
| Full Name | DR. CRAIG ALLEN GLICK |
| Credential | DDS |
| Practice Address |
17547 Ventura Blvd Suite 103 Encino CA 91316-3853 |
| Practice Telephone | 8189908550 |
| Practice Fax Number | 8189908551 |
| Mailing Telephone | 8189908550 |
| Mailing Fax Number | 8189908551 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DX34704 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356454540 | Craig Steven Glick | Radiology | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2006-08-15 |
| Street Address |
17547 VENTURA BLVD SUITE 103 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477574523 | Behavioral Support Services Inc. | Marriage & Family Therapist | 17547 Ventura Blvd, Suite 307a, Encino, CA 91316-3853 | 2006-07-22 |
| 1356685051 | Lisa Topp | Behavioral Analyst | 17547 Ventura Blvd, Suite 304, Encino, CA 91316-3853 | 2012-11-19 |
| 1528204047 | Sharyn Nichols | Marriage & Family Therapist | 17547 Ventura Blvd, Suite 310, Encino, CA 91316-3853 | 2009-01-06 |
| 1356531339 | Valley Counseling | Psychologist | 17547 Ventura Blvd, Suite 310, Encino, CA 91316-3853 | 2007-07-26 |
| 1548464167 | Babara Jane Eckstein | Marriage & Family Therapist | 17547 Ventura Blvd, Suite 310, Encino, CA 91316-3853 | 2007-06-14 |
| 1871626226 | Joan R. Browner | Psychologist | 17547 Ventura Blvd, Suite 310, Encino, CA 91316-3853 | 2007-03-14 |
| 1497888911 | Bahar Danesh-gharib Chiropractic, Inc. | Chiropractor | 17547 Ventura Blvd, Suite # 308-a, Encino, CA 91316-3853 | 2007-03-13 |
| 1477617801 | Denise Louise Koger | Marriage & Family Therapist | 17547 Ventura Blvd, Suite 310, Encino, CA 91316-3853 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963318 | Dr Mahooti Dental Practice Inc. | Dentist | 16500 Ventura Blvd Ste 150, Encino, CA 91436-2009 | 2020-05-13 |
| 1780237032 | Shermineh Zadeh | Dentist | 16133 Ventura Blvd Ste 445, Encino, CA 91436-2429 | 2019-07-16 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1255735163 | Amir Jamsheed Professional Dental Corp. | Dentist | 16055 Ventura Blvd Ste 1126, Encino, CA 91436-2612 | 2014-10-21 |
| 1962813881 | Fard & Mastour Dental Corp | Dentist | 15720 Ventura Blvd Ste 514, Encino, CA 91436-4722 | 2014-05-13 |
| 1952678922 | Pouyan & Khanideh Dental Corporation | Dentist | 15720 Ventura Blvd Ste 609, Encino, CA 91436-4733 | 2011-11-18 |
| 1639456544 | Ecaterina Anetta Krausz | Dentist | 16542 Ventura Blvd Ste 505, Encino, CA 91436-4576 | 2011-11-05 |
| 1528369477 | Beata Pezeshki | Dentist | 3467 Ardsley Pl, Encino, CA 91436-4023 | 2010-11-09 |
| 1467784595 | Bahareh Safaie | Dentist | 16101 Ventura Blvd Ste 350, Encino, CA 91436-2516 | 2010-01-29 |
| 1336399310 | Marian Daoud Yassa | Dentist | 16550 Ventura Blvd # 316, Encino, CA 91436-2004 | 2008-09-25 |
| Find all providers in ENCINO | ||||
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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.