Active NPI
Alex Sadrossadat, DDS Inc.
- Dental Clinic/Center
- Los Angeles, CA
National Provider Identifier
1083481931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ALEX SADROSSADAT, DDS INC.
- Practice address
- 4545 E 3Rd St Ste 108
Los Angeles, CA 90022-1656 - Phone
- (323) 780-0189
- NPI assigned
- Dec 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Sadrossadat, DDS
- Title
- President
- Phone
- (702) 334-4405
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
4545 E 3Rd St Ste 108
Los Angeles, CA 90022-1656
Mailing address
2080 Greenwood LN
Pomona, CA 91766-5768
Phone (702) 334-4405
National Provider Directory
National Provider DirectoryLocations
4545 E 3rd St
Ste 108
Los Angeles, CA 90022
Phone (323) 780-0189
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Van Nuys, CA
- NPI 1528554326
-
- Dentist
- Los Angeles, CA
- NPI 1114057551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1083481931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 GREENWOOD LN",
"city": "POMONA",
"state": "CA",
"postal_code": "917665768",
"telephone_number": "702-334-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 E 3RD ST STE 108",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221656",
"telephone_number": "323-780-0189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEX SADROSSADAT, DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-10",
"status": "A",
"authorized_official_last_name": "SADROSSADAT",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-334-4405",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"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 Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.