Leyli Dehghan Shirazi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51334 Issued in CA

Practice address

436 N Roxbury Dr Ste 109
Beverly Hills, CA 90210-5016

Phone

(310) 385-1311

Fax

(310) 385-1377

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1003182619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 109",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105016",
            "telephone_number": "310-385-1311",
            "fax_number": "310-385-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 109",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105016",
            "telephone_number": "310-385-1311",
            "fax_number": "310-385-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHGHAN SHIRAZI",
        "first_name": "LEYLI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepak Dugar MD a Medical Corporation
• Defazio Chiropractic Corporation
• Defazio Chiropractic Corporation
• Patrick Defazio, D.C.
• Claudia Degrati, PH.D.
• Christina Sirvart Deirmenjian
• Lela Dekanosidze, DDS
• Deko Medical, Inc., a Professional Corporation
• Sherry Luo Del Campo, LCSW
• Judith P. Delafield, PHD., M.D.

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.