Hesam Shahovesis DMD,Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47798 Issued in CA

Legal business name

HESAM SHAHOVESIS DMD,INC

Practice address

8716 Cord Ave
Pico Rivera, CA 90660-5507

Phone

(714) 542-2224

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hesam Shahoveisi, DMD

Title

Owner

Phone

(714) 334-4808

Specialties & licenses 1

Addresses

Other names 1

• Hesam Shahoveisi DMD, inc Former legal business name

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1194935684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8716 CORD AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605507",
            "telephone_number": "714-542-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 CORD AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906605507",
            "telephone_number": "714-542-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESAM SHAHOVESIS DMD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "SHAHOVEISI",
        "authorized_official_first_name": "HESAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-334-4808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hesam Shahoveisi DMD, inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Dentistry in Pico Rivera, CA
• Providers in Pico Rivera, 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 Apr 22, 2015; 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.