Payam Sooferi D.D.S., a Professional Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PAYAM SOOFERI D.D.S., A PROFESSIONAL DENTAL CORPORATION

Practice address

207 N Central Ave
Glendale, CA 91203-2510

Phone

(818) 243-8888

Fax

(818) 243-8808

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Payam Sooferi, D.D.S.NPI 1699836163

Title

Dentist/Owner

Phone

(818) 243-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Payam Sooferi, DDS

  • Dentist
  • Glendale, CA
  • NPI 1699836163
  NPD (past) Authorized official
• Shervin Shayestehkhou

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1356934251
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1245473370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032510",
            "telephone_number": "818-243-8888",
            "fax_number": "818-243-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032510",
            "telephone_number": "818-243-8888",
            "fax_number": "818-243-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYAM SOOFERI D.D.S., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "SOOFERI",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "818-243-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "434731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Hejja, M.D., PC
• Paul Meserkhani DDS Inc
• Sumita Paul, MD
• Pauls Shoe Repair and Sales Inc.
• Pavel Arutyunyan DDS, Inc
• Kiarash Paydar, M.D.
• Paz Counseling Services
• PC Perfect Enterprises Inc
• Pcah Greater Beverly Hills
• Peace of Mind Home Health Group, Inc.

• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.