Organization Active NPI

Alex Sadrossadat, DDS Inc.

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1083481931
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Alex Sadrossadat, DDSNPI 1528554326
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.