Organization Active NPI

Jonathan Shouhed DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
National Provider Identifier
1013401082
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Jonathan Shouhed
Title
Orthodontist
Phone
(310) 666-6011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 65364 CA Primary

Addresses

Primary practice location

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

Mailing address

2320 S Robertson Blvd Ste 101
Los Angeles, CA 90034-2053
Phone (310) 954-2202

National Provider Directory

National Provider Directory

NPI Registry JSON

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": []
}

Other providers in Los Angeles, CA

Sources for this page

  • 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.