Organization Active NPI

Khodadadi Dental Corporation

  • Endodontics
  • Beverly Hills, CA
National Provider Identifier
1326860495
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
KHODADADI DENTAL CORPORATION
Practice address
8500 Wilshire Blvd Ste 527
Beverly Hills, CA 90211-3111
Phone
(310) 666-9024
NPI assigned
Oct 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Soheil Khodadadi, DDS
Title
President
Phone
(310) 717-5499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

8500 Wilshire Blvd Ste 527
Beverly Hills, CA 90211-3111

Mailing address

200 N Swall Dr Unit 504
Beverly Hills, CA 90211-4725
Phone (310) 666-9024

Other names 1

  • Biologic Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

8500 Wilshire Blvd
Ste 527
Beverly Hills, CA 90211
Phone (310) 666-9024

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1326860495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N SWALL DR UNIT 504",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902114725",
            "telephone_number": "310-666-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 527",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113111",
            "telephone_number": "310-666-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHODADADI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "KHODADADI",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-717-5499",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biologic Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.