Jamsheed and Sooferi a Professional Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

54604 Issued in CA

Legal business name

JAMSHEED AND SOOFERI A PROFESSIONAL DENTAL CORPORATION

Doing business as

Starlight Dental Group

Practice address

214 N Central Ave
Glendale, CA 91203-3556

Phone

(818) 243-8888

Fax

(818) 243-8808

NPI assigned

Apr 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Payam Sooferi, D.D.S.

Title

Dentist/Ceo

Phone

(818) 243-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Starlight Dental Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1003050659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033556",
            "telephone_number": "818-243-8888",
            "fax_number": "818-243-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033556",
            "telephone_number": "818-243-8888",
            "fax_number": "818-243-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMSHEED AND SOOFERI A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "SOOFERI",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "818-243-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "434731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starlight Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.