NPIMap

Organization Active NPI

Sorour D.M.D P,C

  • Dentist
  • Northridge, CA
National Provider Identifier
1013362854
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOROUR D.M.D P,C
Practice address
18450 Dearborn St
Northridge, CA 91325-2259
Phone
(818) 736-9339
NPI assigned
Apr 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Dr. Selvana Sorour, D.M.D
Title
President
Phone
(818) 736-9339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

18450 Dearborn St
Northridge, CA 91325-2259

Mailing address

18450 Dearborn St
Northridge, CA 91325-2259
Phone (818) 736-9339

National Provider Directory

National Provider Directory
Tax ID family
Sorour DMD PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18450 Dearborn St
Northridge, CA 91325
Phone (310) 999-9669

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1013362854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18450 DEARBORN ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252259",
            "telephone_number": "818-736-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18450 DEARBORN ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252259",
            "telephone_number": "818-736-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROUR D.M.D P,C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "SOROUR",
        "authorized_official_first_name": "SELVANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-736-9339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.