Active NPI
Amir H Jamsheed, DDS
- Dentist
- Encino, CA
National Provider Identifier
1124196126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54513
- Practice address
- 16055 Ventura Blvd Ste 400
Encino, CA 91436-2608 - Phone
- (818) 501-0427
- Fax
- (818) 501-0583
- NPI assigned
- Nov 30, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 54513 | CA | Primary |
Addresses
Primary practice location
16055 Ventura Blvd Ste 400
Encino, CA 91436-2608
Mailing address
3446 Standish Dr
Encino, CA 91436-4036
Phone (310) 666-3250
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@encinodentalstudio.com |
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 |
|---|---|---|---|
| 54513 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amir H. Jamsheed, Professional Dental Corp. | Current | Accepting new patients |
Locations
16055 Ventura Blvd
Ste 400
Encino, CA 91436
Phone (818) 501-0427
16055 Ventura Blvd
Ste 1126
Encino, CA 91436
Phone (818) 501-0427
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Encino, CA
- NPI 1255735163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1124196126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3446 STANDISH DR",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364036",
"telephone_number": "310-666-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16055 VENTURA BLVD STE 400",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362608",
"telephone_number": "818-501-0427",
"fax_number": "818-501-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMSHEED",
"first_name": "AMIR",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54513",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@encinodentalstudio.com",
"affiliation": "N",
"address_1": "16055 Ventura Blvd Ste 1126",
"city": "Encino",
"state": "CA",
"country_code": "US",
"postal_code": "914362612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.