Organization Active NPI

Sina Banankhah Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Studio City, CA
National Provider Identifier
1144064353
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SINA BANANKHAH DENTAL CORPORATION
Practice address
12930 Ventura Blvd Ste 226B
Studio City, CA 91604-2200
Phone
(818) 287-0910
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Authorized official

Name
Dr. Sina Banankhah, DDSNPI 1437685781
Title
Owner Dentist
Phone
(818) 287-0910

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 2

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

Addresses

Primary practice location

12930 Ventura Blvd Ste 226B
Studio City, CA 91604-2200

Mailing address

12930 Ventura Blvd Ste 226B
Studio City, CA 91604-2200
Phone (818) 287-0910

Other identifiers 1

IdentifierTypeStateIssuer
DDS104655OtherCADENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

12930 Ventura Blvd
Ste 226B
Studio City, CA 91604
Phone (818) 287-0910

Practitioners & affiliated clinicians

Practitioners 1

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": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725667200000",
    "number": "1144064353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 VENTURA BLVD STE 226B",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042200",
            "telephone_number": "818-287-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 VENTURA BLVD STE 226B",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042200",
            "telephone_number": "818-287-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA BANANKHAH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A",
        "authorized_official_last_name": "BANANKHAH",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "818-287-0910",
        "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": "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": "DENTAL LICENSE",
            "identifier": "DDS104655",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.