NPIMap

Individual provider Active NPI

Soheil Vahedi, D.D.S.

  • Dentist
  • Inglewood, CA
National Provider Identifier
1306982335
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54735 Issued in CA
Practice address
3451 W Century Blvd
B-1
Inglewood, CA 90303-1227
Phone
(310) 330-9000
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54735 CA Primary

Addresses

Primary practice location

3451 W Century Blvd
B-1
Inglewood, CA 90303-1227

Mailing address

3451 W Century Blvd
B-1
Inglewood, CA 90303-1227
Phone (310) 330-9000

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

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Siamak Khakshooy and Soheil Vahedi DDS Inc Current Accepting new patients
Vahedi and Khakshooy Dental Incorporation Dentist Current Accepting new patients
Vahedi Dental , Inc. Current Accepting new patients

Locations

3451 W Century Blvd
Ste B1
Inglewood, CA 90303
Phone (310) 330-9000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1306982335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 W CENTURY BLVD",
            "address_2": "B-1",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903031227",
            "telephone_number": "310-330-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 W CENTURY BLVD",
            "address_2": "B-1",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903031227",
            "telephone_number": "310-330-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHEDI",
        "first_name": "SOHEIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.