Niloo Tavakol DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43402 Issued in CA

Legal business name

NILOO TAVAKOL DDS INC

Practice address

18433 Roscoe Blvd
Suite 201
Northridge, CA 91325

Phone

(818) 439-3300

Fax

(818) 264-7799

NPI assigned

Feb 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Niloo Tavakol, DDS

Title

President

Phone

(818) 439-3300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Curtis Pendleton, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Northridge, CA
  • NPI 1588854152
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194866335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 ORRVILLE AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "818-439-3300",
            "fax_number": "818-264-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD",
            "address_2": "SUITE 201",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325",
            "telephone_number": "818-439-3300",
            "fax_number": "818-264-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILOO TAVAKOL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAVAKOL",
        "authorized_official_first_name": "NILOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-439-3300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tu Minh Nguyen, D.D.S
• Deborah Nichols
• Nicole VI Le, OD, Inc
• Nida Rioga Relativo, D.D.S., Inc
• Ben Christen Nielsen
• Ingrid Chung Nishimoto, LCSW
• Noble Care Providers LLC
• Jordan Noel
• Hilary Noori, MA, AMFT
• Ani Norashkharhyan, FNP

• General Practice Dentistry in Northridge, CA
• Providers in Northridge, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.