NPIMap

Individual provider Active NPI

Houshang Dowlatshahi, DMD

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1154620409
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32061 Issued in CA
Practice address
11645 Wilshire Blvd Ste 980
Los Angeles, CA 90025-6809
Phone
(310) 820-0022
Fax
(310) 820-4562
NPI assigned
Mar 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32061 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd Ste 980
Los Angeles, CA 90025-6809

Mailing address

11645 Wilshire Blvd Ste 980
Los Angeles, CA 90025-6809
Phone (310) 820-0022

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dowlatshahi Dental Corporation Dentist Past Accepting new patients
Kian Dowlatshahi DDS Inc Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1154620409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 980",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256809",
            "telephone_number": "310-820-0022",
            "fax_number": "310-820-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 980",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256809",
            "telephone_number": "310-820-0022",
            "fax_number": "310-820-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWLATSHAHI",
        "first_name": "HOUSHANG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.