Rezaie GPRS Dental Group Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

REZAIE GPRS DENTAL GROUP INC

Doing business as

Smile Heroes Dental

Practice address

8936 Glenoaks Blvd
Ste B
Sun Valley, CA 91352-1352

Phone

(214) 493-1216

NPI assigned

May 13, 2021

Last updated

Jun 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sanaz RezaieNPI 1417262999

Title

Provider

Phone

(818) 667-6297

Specialties & licenses 1

Addresses

Other names 1

• Smile Heroes Dental Doing business as

Locations

Practitioners 1

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.

• Sanaz R Rezaie, D.D.S

  • General Practice Dentistry
  • Calabasas, CA
  • NPI 1417262999
  NPD Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1316511553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 GLENOAKS BLVD",
            "address_2": "STE B",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521352",
            "telephone_number": "214-493-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 GLENOAKS BLVD",
            "address_2": "STE B",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521352",
            "telephone_number": "214-493-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZAIE GPRS DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "REZAIE",
        "authorized_official_first_name": "SANAZ",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "818-667-6297"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Heroes Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.