Individual provider Active NPI

Morad Masrour-Rad I, D.M.D.

  • General Practice Dentistry
  • Woodland Hills, CA
National Provider Identifier
1295853224
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30579 Issued in CA
Practice address
6325 Topanga Canyon Blvd
#310
Woodland Hills, CA 91367-2004
Phone
(818) 884-4224
Fax
(818) 884-4441
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30579 CA Primary

Addresses

Primary practice location

6325 Topanga Canyon Blvd
#310
Woodland Hills, CA 91367-2004

Mailing address

6325 Topanga Canyon Blvd
#310
Woodland Hills, CA 91367-2004
Phone (818) 884-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295853224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "#310",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672004",
            "telephone_number": "818-884-4224",
            "fax_number": "818-884-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "#310",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672004",
            "telephone_number": "818-884-4224",
            "fax_number": "818-884-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASROUR-RAD",
        "first_name": "MORAD",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.