Organization Active NPI

Haleh Shaheedy,DMD, Inc.

  • Dentist
  • Woodland Hills, CA
National Provider Identifier
1144601444
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42416 Issued in CA
Legal business name
HALEH SHAHEEDY,DMD, INC.
Practice address
19963 Ventura Blvd
Woodland Hills, CA 91364-2631
Phone
(818) 703-0234
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Dr. Haleh Shaheedy, DMDNPI 1285737825
Title
Owner
Phone
(818) 703-0234

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 42416 CA Primary

Addresses

Primary practice location

19963 Ventura Blvd
Woodland Hills, CA 91364-2631

Mailing address

19963 Ventura Blvd
Woodland Hills, CA 91364-2631
Phone (818) 703-0234

Other identifiers 1

IdentifierTypeStateIssuer
B4241601OtherCAMEDICARE

Other names 1

  • Smiles For All Doing business as

National Provider Directory

National Provider Directory

Locations

19963 Ventura Blvd
Woodland Hls, CA 91364
Phone (310) 713-6046

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": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1144601444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19963 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642631",
            "telephone_number": "818-703-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19963 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642631",
            "telephone_number": "818-703-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEH SHAHEEDY,DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "SHAHEEDY",
        "authorized_official_first_name": "HALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-703-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "B4241601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles For All",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smiles For All",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 23, 2019; 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.