S. Khodadadi DMD, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

S. KHODADADI DMD, INC.

Practice address

6740 Reseda Blvd Ste Aandb
Reseda, CA 91335-5332

Phone

(310) 666-9024

NPI assigned

Dec 1, 2025

Organization subpart

No

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

Authorized official

Name

Michael Nedjat-Haiem, DDS

Title

President

Phone

(310) 666-9024

Specialties & licenses 1

Addresses

Other names 1

• Kidzy Dental and Reseda Orthodontix Doing business as

Locations

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1255293197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N SWALL DR UNIT 504",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902114725",
            "telephone_number": "310-666-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 RESEDA BLVD STE AANDB",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355332",
            "telephone_number": "310-666-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. KHODADADI DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-11-30",
        "status": "A",
        "authorized_official_last_name": "NEDJAT-HAIEM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-666-9024",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidzy Dental and Reseda Orthodontix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.