Simon Hedvat, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

110189 Issued in CA

Practice address

1260 15TH St Ste 703
Santa Monica, CA 90404-1142

Phone

(310) 393-8284

NPI assigned

May 8, 2023

Last updated

Oct 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alan Rubenstein DDS Inc

  dba Santa Monica Family Dentistry

  • Dentist
  • Santa Monica, CA
  • NPI 1548763535
  NPD (past)
• Terri Nguyen Dental Corporation

  dba Canyon Country Dental Group

  • Periodontics
  • Santa Clarita, CA
  • NPI 1649361478
  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1255021804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 N OAKHURST DR APT 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104162",
            "telephone_number": "310-990-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 15TH ST STE 703",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041142",
            "telephone_number": "310-393-8284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 N Oakhurst Dr Apt 203",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104162",
            "country_code": "US",
            "telephone_number": "310-990-9790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14712 Parthenia St Ste E",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914022992",
            "country_code": "US",
            "telephone_number": "818-830-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDVAT",
        "first_name": "SIMON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110189",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brenda Heidrich, PHD
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• Dentist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.