NPIMap

Organization Active NPI

Shahram Hosseini, DDS, Inc.

Doing business as Westlake Village Dental Office

  • Dentist
  • Westlake Village, CA
National Provider Identifier
1316139843
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53068 Issued in CA
Legal business name
SHAHRAM HOSSEINI, DDS, INC.
Doing business as
Westlake Village Dental Office
Practice address
1240 South Westlake Blvd.
Suite 201
Westlake Village, CA 91361-1990
Phone
(805) 495-7212
Fax
(805) 230-9218
NPI assigned
Aug 17, 2007
Last updated
Mar 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Mr. Shahram Hosseini, D.D.SNPI 1871691394
Title
General Dentist
Phone
(805) 495-7212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53068 CA Primary

Addresses

Primary practice location

1240 South Westlake Blvd.
Suite 201
Westlake Village, CA 91361-1990

Mailing address

1240 South Westlake Blvd.
Suite 201
Westlake Village, CA 91361-1990
Phone (805) 495-7212

Other identifiers 1

IdentifierTypeStateIssuer
G9352901OtherCADENTICAL

Other names 1

  • Westlake Village Dental Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Age Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1240 S Westlake Blvd
Ste 201
Westlake Village, CA 91361
Phone (805) 230-9212

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1316139843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 SOUTH WESTLAKE BLVD.",
            "address_2": "SUITE 201",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611990",
            "telephone_number": "805-495-7212",
            "fax_number": "805-230-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 SOUTH WESTLAKE BLVD.",
            "address_2": "SUITE 201",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611990",
            "telephone_number": "805-495-7212",
            "fax_number": "805-230-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRAM HOSSEINI, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "HOSSEINI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "805-495-7212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9352901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Village Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.