Farideh Kohanghadosh, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

45380 Issued in CA

Practice address

415 Rolling Oaks Dr
Suite 120
Thousand Oaks, CA 91361-1029

Phone

(805) 449-9952

Fax

(805) 449-1189

NPI assigned

Jun 7, 2007

Last updated

Jul 8, 2007By 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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14451/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mojgan Hashemi-Mousavi DDS Dental Inc.

  • General Practice Dentistry
  • Thousand Oaks, CA
  • NPI 1790996502
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033312079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR",
            "address_2": "SUITE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR",
            "address_2": "SUITE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611029",
            "telephone_number": "805-449-9952",
            "fax_number": "805-449-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANGHADOSH",
        "first_name": "FARIDEH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clyde Knoblauch Jr., DDS
• Arthur Leo Kobal, D.D.S.
• Vissy Kobari Wright
• Kofi Kessey MD/PHD Inc. a California Professional Medical Corporation
• Josephine Koger
• Kohanzadeh Dental Corp (Smiles 4 Life)
• Kolar N. Murthy, M.D., Inc.
• Jacob Komberg
• Bumin Kong
• Emily Joy Koops, MOTR/L

• Dentist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.