Active NPI
Shahriyar Banihashemi, DDS
- Endodontics
- Toluca Lake, CA
National Provider Identifier
1093974255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 36050
- Practice address
- 10116 Riverside Dr
Suite 301
Toluca Lake, CA 91602-2563 - Phone
- (818) 766-6126
- Fax
- (818) 766-0730
- NPI assigned
- Jun 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 36050 | CA | Primary |
Addresses
Primary practice location
10116 Riverside Dr
Suite 301
Toluca Lake, CA 91602-2563
Mailing address
10116 Riverside Dr
Suite 301
Toluca Lake, CA 91602-2563
Phone (818) 766-6126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36050 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1093974255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10116 RIVERSIDE DR",
"address_2": "SUITE 301",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916022563",
"telephone_number": "818-766-6126",
"fax_number": "818-766-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10116 RIVERSIDE DR",
"address_2": "SUITE 301",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916022563",
"telephone_number": "818-766-6126",
"fax_number": "818-766-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANIHASHEMI",
"first_name": "SHAHRIYAR",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "36050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toluca Lake, CA
- Ara Kelekian
- Arthur W Weiss DDS a Professional Corporation
- Aster Home Health Services Inc.
- Axis Home Health Care, Inc.
- Nikola J Ban, D.D.S.
- Bassiri & Huizenga Chiropractic Corporation
- BC Pharmacy Incorporated
- Beacon Treatment Navigators LLC
- Bellamy Home Health, Inc.
- Alice Lee A Benjamin, ACNS-BC, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.