Organization Active NPI

Shahriari D D S Inc

  • Dentist
  • Encino, CA
National Provider Identifier
1124494430
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44250 Issued in CA
Legal business name
SHAHRIARI D D S INC
Practice address
15840 Ventura Blvd
Suite 211
Encino, CA 91436-2932
Phone
(818) 906-3838
NPI assigned
Aug 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Homa Shahriari, DDS
Title
Owner
Phone
(818) 906-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 44250 CA Primary

Addresses

Primary practice location

15840 Ventura Blvd
Suite 211
Encino, CA 91436-2932

Mailing address

15840 Ventura Blvd
Suite 211
Encino, CA 91436-2932
Phone (818) 906-3838

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1124494430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 VENTURA BLVD",
            "address_2": "SUITE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362932",
            "telephone_number": "818-906-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 VENTURA BLVD",
            "address_2": "SUITE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362932",
            "telephone_number": "818-906-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRIARI D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "SHAHRIARI",
        "authorized_official_first_name": "HOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-906-3838",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 20, 2015; 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.