NPIMap

Organization Active NPI

Daneshgar Oral & Maxillofacial Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
National Provider Identifier
1215626882
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DANESHGAR ORAL & MAXILLOFACIAL SURGERY, INC.
Practice address
6360 Wilshire Boulevard
Suite 403
Los Angeles, CA 90048-5606
Phone
(323) 653-9440
Fax
(323) 653-3586
NPI assigned
May 1, 2023
Organization subpart
Yes
Parent organization
DANESHGAR ORAL & MAXILLOFACIAL SURGERY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Mr. Shariar Shaun Daneshgar, D.M.DNPI 1104934983
Title
Owner
Phone
(323) 653-9440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

6360 Wilshire Boulevard
Suite 403
Los Angeles, CA 90048-5606

Mailing address

6360 Wilshire Boulevard
Suite 403
Los Angeles, CA 90048-5606
Phone (323) 653-9440

National Provider Directory

National Provider Directory
Part of
Daneshgar Oral Maxillofacial Surgery Inc

Locations

6360 Wilshire Blvd
Ste 403
Los Angeles, CA 90048
Phone (323) 653-9440

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": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1215626882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BOULEVARD",
            "address_2": "SUITE 403",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485606",
            "telephone_number": "323-653-9440",
            "fax_number": "323-653-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BOULEVARD",
            "address_2": "SUITE 403",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485606",
            "telephone_number": "323-653-9440",
            "fax_number": "323-653-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANESHGAR ORAL & MAXILLOFACIAL SURGERY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANESHGAR ORAL & MAXILLOFACIAL SURGERY, INC.",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "DANESHGAR",
        "authorized_official_first_name": "SHARIAR",
        "authorized_official_middle_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-653-9440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "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 May 1, 2023; 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.