Ladan Naddafi DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

48340 Issued in CA

Legal business name

LADAN NADDAFI DDS INC

Doing business as

Conejo Smile Dental Group

Practice address

1736 N Moorpark Rd
Suite H
Thousand Oaks, CA 91360

Phone

(805) 557-0909

Fax

(805) 557-0908

NPI assigned

Apr 6, 2006

Last updated

Aug 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ladan Naddafi, DDS

Title

President Owner

Phone

(805) 557-0909

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Conejo Smile Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Nadafi, DDS

  • Dentist
  • Thousand Oaks, CA
  • NPI 1083999387
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1093777617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 VIA COLINAS",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-370-8043",
            "fax_number": "805-370-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 N MOORPARK RD",
            "address_2": "SUITE H",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-557-0909",
            "fax_number": "805-557-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADAN NADDAFI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "NADDAFI",
        "authorized_official_first_name": "LADAN",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "805-557-0909",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DENTAL BOARD",
            "identifier": "48340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G9307601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conejo Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Aug 7, 2014; 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.