Organization Active NPI

Jamack Mozaffari DDS, Inc

  • Dental Clinic/Center
  • Reseda, CA
National Provider Identifier
1205136447
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
55134 Issued in CA
Legal business name
JAMACK MOZAFFARI DDS, INC
Practice address
7455 Reseda Blvd Ste F
Reseda, CA 91335-7461
Phone
(818) 343-1654
Fax
(818) 343-7606
NPI assigned
Oct 21, 2010
Last updated
Oct 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Jamack Mozaffari, DDS
Title
Dentist
Phone
(818) 343-1654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 55134 CA Primary

Addresses

Primary practice location

7455 Reseda Blvd Ste F
Reseda, CA 91335-7461

Mailing address

7455 Reseda Blvd Ste F
Reseda, CA 91335-7461
Phone (818) 343-1654

National Provider Directory

National Provider Directory

Locations

7455 Reseda Blvd
Ste F
Reseda, CA 91335
Phone (818) 343-1654

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1205136447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 RESEDA BLVD STE F",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913357461",
            "telephone_number": "818-343-1654",
            "fax_number": "818-343-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 RESEDA BLVD STE F",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913357461",
            "telephone_number": "818-343-1654",
            "fax_number": "818-343-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMACK MOZAFFARI DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "MOZAFFARI",
        "authorized_official_first_name": "JAMACK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-343-1654",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "55134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.