Individual provider Active NPI

Kamiar Hosseini Dehkordi, DDS

  • Dentist
  • Sun Valley, CA
National Provider Identifier
1326247396
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53782 Issued in CA
Practice address
8215 Sunland Blvd
Sun Valley, CA 91352-3362
Phone
(818) 252-7222
Fax
(818) 252-0555
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53782 CA Primary

Addresses

Primary practice location

8215 Sunland Blvd
Sun Valley, CA 91352-3362

Mailing address

8215 Sunland Blvd
Sun Valley, CA 91352-3362
Phone (818) 252-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407001847 CA Order and Referring Only - DentistPractitioner - Dentist 7012215064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53782CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kamiar H. Dehkordi a Professional Corporation DDS Past Accepting new patients

Organizations & group practices 1

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1326247396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 SUNLAND BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523362",
            "telephone_number": "818-252-7222",
            "fax_number": "818-252-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 SUNLAND BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523362",
            "telephone_number": "818-252-7222",
            "fax_number": "818-252-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHKORDI",
        "first_name": "KAMIAR",
        "middle_name": "HOSSEINI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

Verify at the official NPI Registry.