Active NPI
E. Benji Behroozan DDS Inc.
- Dentist
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31568
- Legal business name
- E. BENJI BEHROOZAN DDS INC.
- Practice address
- 2221 Lincoln Blvd # 200
Santa Monica, CA 90405-1320 - Phone
- (310) 399-1100
- Fax
- (310) 664-8901
- NPI assigned
- Sep 16, 2010
- Last updated
- Sep 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ehteram Benji Behroozan, DDS
- Title
- Owner
- Phone
- (310) 399-1100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 31568 | CA | Primary |
Addresses
Primary practice location
2221 Lincoln Blvd # 200
Santa Monica, CA 90405-1320
Mailing address
2221 Lincoln Blvd # 200
Santa Monica, CA 90405-1320
Phone (310) 399-1100
National Provider Directory
National Provider Directory- Tax ID family
- E Benji Behroozan DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Los Angeles, CA
- NPI 1225346919
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Santa Monica, CA
- NPI 1336291517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284595200000",
"number": "1003124702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 LINCOLN BLVD # 200",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904051320",
"telephone_number": "310-399-1100",
"fax_number": "310-664-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 LINCOLN BLVD # 200",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904051320",
"telephone_number": "310-399-1100",
"fax_number": "310-664-8901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E. BENJI BEHROOZAN DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A",
"authorized_official_last_name": "BENJI BEHROOZAN",
"authorized_official_first_name": "EHTERAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-399-1100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "31568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.