Marjan Mohammadi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49940 Issued in CA

Practice address

15643 Sherman Way
Van Nuys, CA 91406-4135

Phone

(818) 786-2209

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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

Locations

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.

• Marjan Mohammadi D.D.S. Inc.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1679005045
  NPD Authorized official
• Marjan Mohammadi DDS Inc

  • Dentist
  • Los Angeles, CA
  • NPI 1093069221
  NPD Authorized official
• Community Dental Service

  dba SmileCare Dental Group

  • Dentist
  • Van Nuys, CA
  • NPI 1649340043
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073695664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21555 BURBANK BLVD",
            "address_2": "SUITE 66",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676617",
            "telephone_number": "818-347-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064135",
            "telephone_number": "818-786-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMADI",
        "first_name": "MARJAN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Day Home Health Care Inc
• Mehdi Amini Moghadam, MID
• Bahman Moghaddas
• Glenda Josefina Moghim, MFTI
• Arash Moghimi, M.D.
• Liana Moini
• Dannia Mojica
• Dinaris Mojica
• Ehsan Mokhtari, DDS
• Todd D Moldawer, M.D.

• General Practice Dentistry in Van Nuys, CA
• Providers in Van Nuys, 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 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.