NPIMap

Organization Active NPI

O.R. Barkhordar DDS Inc

  • General Practice Dentistry
  • Gardena, CA
National Provider Identifier
1144674433
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58536 Issued in CA
Legal business name
O.R. BARKHORDAR DDS INC
Doing business as
Gardena Dental Care
Practice address
1600 W. Redondo Beach Blvd, Ste 203
Gardena, CA 90274
Phone
(310) 808-0198
Fax
(310) 808-0138
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Dr. Omid Rabi Barkhordar, DDS
Title
Owner
Phone
(562) 928-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 58536 CA Primary

Addresses

Primary practice location

1600 W. Redondo Beach Blvd, Ste 203
Gardena, CA 90274

Mailing address

8077 Florence Ave, Ste 107
Downey, CA 90240
Phone (562) 928-6900

Other names 1

  • Gardena Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1144674433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8077 FLORENCE AVE, STE 107",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90240",
            "telephone_number": "562-928-6900",
            "fax_number": "562-674-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W. REDONDO BEACH BLVD, STE 203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "310-808-0198",
            "fax_number": "310-808-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O.R. BARKHORDAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "BARKHORDAR",
        "authorized_official_first_name": "OMID",
        "authorized_official_middle_name": "RABI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-928-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardena Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gardena Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.