Organization Active NPI

Ebrahimian Dental Office, Inc.

Doing business as Pure Dentistry Kids & Adults

  • General Practice Dentistry
  • Santa Clarita, CA
National Provider Identifier
1104360882
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44473 Issued in CA
Legal business name
EBRAHIMIAN DENTAL OFFICE, INC.
Doing business as
Pure Dentistry Kids & Adults
Practice address
22817 Lyons Ave
Santa Clarita, CA 91321
Phone
(661) 513-9393
Fax
(661) 667-4413
NPI assigned
Dec 14, 2016
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Shahab Ebrahimian, DDSNPI 1548335912
Title
Owner Dentist
Phone
(818) 385-1999

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
General Practice Dentistry 1223G0001X 44473 CA Primary

Addresses

Primary practice location

22817 Lyons Ave
Santa Clarita, CA 91321

Mailing address

13949 Ventura Blvd
Ste 250
Sherman Oaks, CA 91423-3584
Phone (818) 385-1947

Other names 2

  • Pure Dentistry Kids & Adults Doing business as
  • SEAN EBRAHIMIAN DDS, INC. Former legal business name

National Provider Directory

National Provider Directory

Locations

22817 Lyons Ave
Santa Clarita, CA 91321
Phone (661) 200-3130

13949 Ventura Blvd
Ste 250
Sherman Oaks, CA 91423
Phone (818) 385-1999

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1104360882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13949 VENTURA BLVD",
            "address_2": "STE 250",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233584",
            "telephone_number": "818-385-1947",
            "fax_number": "818-385-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22817 LYONS AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-513-9393",
            "fax_number": "661-667-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBRAHIMIAN DENTAL OFFICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMIAN",
        "authorized_official_first_name": "SHAHAB",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "818-385-1999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Dentistry Kids & Adults",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SEAN EBRAHIMIAN DDS, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.