Organization Active NPI

Nikaeen Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodland Hills, CA
National Provider Identifier
1114594538
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
NIKAEEN DENTAL CORPORATION
Practice address
22949 Ventura Blvd Ste C
Woodland Hills, CA 91364-1271
Phone
(818) 225-8800
Fax
(818) 225-8826
NPI assigned
Jun 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Dr. Atoosa Nikaeen, DDSNPI 1780750794
Title
Owner Dentist
Phone
(818) 225-8800

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

22949 Ventura Blvd Ste C
Woodland Hills, CA 91364-1271

Mailing address

22949 Ventura Blvd Ste C
Woodland Hills, CA 91364-1271
Phone (818) 225-8800

Other identifiers 1

IdentifierTypeStateIssuer
43378OtherCADENTIST

National Provider Directory

National Provider Directory

Locations

22949 Ventura Blvd
Ste C
Woodland Hills, CA 91364
Phone (818) 225-8800

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": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1114594538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22949 VENTURA BLVD STE C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641271",
            "telephone_number": "818-225-8800",
            "fax_number": "818-225-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22949 VENTURA BLVD STE C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641271",
            "telephone_number": "818-225-8800",
            "fax_number": "818-225-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKAEEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "NIKAEEN",
        "authorized_official_first_name": "ATOOSA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "818-225-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "43378",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.