Active NPI
Akbar Khorshidi, DDS
- Dentist
- Burbank, CA
National Provider Identifier
1114537602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105153
- Practice address
- PO Box 441
Burbank, CA 91503-0441 - Phone
- (760) 666-5066
- NPI assigned
- Aug 9, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D012627 | AZ | |
| Dentist | 122300000X | 39200 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 39200 | TX | |
| Dentist | 122300000X | 105153 | CA | Primary |
Addresses
Primary practice location
PO Box 441
Burbank, CA 91503-0441
Mailing address
PO Box 564
San Marcos, CA 92079-0564
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 |
|---|---|---|---|
| D012627 | AZ | MD | Dentist |
| 105153 | CA | MD | Dentist |
| 39200 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1114537602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 564",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920790564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 441",
"city": "BURBANK",
"state": "CA",
"postal_code": "915030441",
"telephone_number": "760-666-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHORSHIDI",
"first_name": "AKBAR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-09",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D012627",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39200",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "39200",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.