Jonathan Shouhed DDS Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

65364 Issued in CA

Legal business name

JONATHAN SHOUHED DDS INC

Practice address

2320 S Robertson Blvd Ste 101
Los Angeles, CA 90034-2053

Phone

(310) 954-2202

NPI assigned

Jun 21, 2018

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan ShouhedNPI 1962836650

Title

Orthodontist

Phone

(310) 666-6011

Specialties & licenses 1

Addresses

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.

• Jonathan Shouhed, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Hollywood, CA
  • NPI 1962836650
  Authorized official Same address or phone

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1013401082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 S ROBERTSON BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342053",
            "telephone_number": "310-954-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 S ROBERTSON BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342053",
            "telephone_number": "310-954-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN SHOUHED DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SHOUHED",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "310-666-6011",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "65364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.