S Parham a Prof Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

38214 Issued in CA

Legal business name

S PARHAM A PROF DENTAL CORP

Practice address

12501 S Norwalk Blvd
Norwalk, CA 90650

Phone

(818) 990-5975

Fax

(818) 991-5194

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sohail Parham, D.D.S.NPI 1538280185

Title

Owner

Phone

(818) 990-5795

Specialties & licenses 1

Addresses

Other names 1

• Paddison Dental group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Sohail Parham, D.D.S.

  • General Practice Dentistry
  • Norwalk, CA
  • NPI 1538280185
  Medicare reassignment Authorized official
• Brenna Eileen Coolbaugh, DMD

  • General Practice Dentistry
  • Norwalk, CA
  • NPI 1811450943
  Medicare reassignment
• Edit Avodian, DDS

  • Dentist
  • Sunnyside, NY
  • NPI 1508112285

  CA

  Medicare reassignment

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1275727786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 S NORWALK BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "818-990-5975",
            "fax_number": "818-991-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 S NORWALK BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "818-990-5975",
            "fax_number": "818-991-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S PARHAM A PROF DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "PARHAM",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-990-5795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paddison Dental group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia R. Ruiz, LPT
• Graciela Ruiz
• Rashed Rumi, DO
• Edward A Ruvalcaba Cabrera
• Angelica Lagunas Rybandt, MCWII
• Anahita Saadatifard
• Evelyn M. Saavedra-Funes, LMFT
• Maria Laura Joy Quilao Saavedra, PT
• Marah R Sabbah, MSW
• Julia Anne Sabotin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.