Daniel Khorshad

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

62441 Issued in CA

Practice address

755 W Rancho Vista Blvd
Palmdale, CA 93551-3735

Phone

(661) 265-7800

NPI assigned

Jul 8, 2013

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Easley Dental Corporation

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1669536678
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1255772182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S BEVERLY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W RANCHO VISTA BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513735",
            "telephone_number": "661-265-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Van Nuys Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914031765",
            "country_code": "US",
            "telephone_number": "818-995-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHORSHAD",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62441",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "62441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Khatchaturian, D.D.S
• Ahsun Sunny Khawaja, MD
• Annie Khommarath
• Daniel Khoramian, DDS
• Oliver Khorsandi, DDS
• Alice Kim, O.D.
• Angelo Kim, M.D.
• Charles D Kim, O.D.
• Christine Young Kim, PHARM D
• Hwa Young ( Joseph ) Kim, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.