Individual provider Active NPI

Anahita Behshadpour, DDS

  • Periodontics
  • Van Nuys, CA
National Provider Identifier
1235790189
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
103803 Issued in CA
Practice address
14435 Hamlin St Ste 205
Van Nuys, CA 91401-6205
Phone
(818) 997-6300
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103803 CA
Periodontics 1223P0300X 103803 CA Primary
Periodontics 1223P0300X S4-135C NV

Addresses

Primary practice location

14435 Hamlin St Ste 205
Van Nuys, CA 91401-6205

Mailing address

14435 Hamlin St Ste 205
Van Nuys, CA 91401-6205
Phone (818) 997-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808004154 CA Order and Referring Only - DentistPractitioner - Dentist 1951638261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103803CAMDPeriodontist
S4-135CNVMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Anahita Behshadpour Dental Corporation Periodontics CurrentSince Sep 27, 2020 Accepting new patients
Kang K. Lee,DDS,Inc. PastSince Apr 23, 2023 Accepting new patients

Locations

14435 Hamlin St
Ste 205
Van Nuys, CA 91401
Phone (818) 669-4200

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1235790189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 HAMLIN ST STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016205",
            "telephone_number": "818-997-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 HAMLIN ST STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016205",
            "telephone_number": "818-997-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHSHADPOUR",
        "first_name": "ANAHITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103803",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "103803",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "S4-135C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.