NPIMap

Organization Active NPI

Ali Khosrovani DDS Inc

Doing business as A Briter Smile Dental Group

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1336383843
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
56085 Issued in CA
Legal business name
ALI KHOSROVANI DDS INC
Doing business as
A Briter Smile Dental Group
Practice address
4905 York Blvd
Los Angeles, CA 90042-1609
Phone
(323) 255-8774
Fax
(323) 255-6259
NPI assigned
Apr 28, 2009
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Ali M Khosrovani, DDSNPI 1720275217
Title
Owner Dentist
Phone
(323) 255-8774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 56085 CA Primary

Addresses

Primary practice location

4905 York Blvd
Los Angeles, CA 90042-1609

Mailing address

4905 York Blvd
Los Angeles, CA 90042-1609
Phone (323) 255-8774

Other names 1

  • A Briter Smile Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

4605 York Blvd
Los Angeles, CA 90041
Phone (323) 255-8774

4605 York Blvd
Los Angeles, CA 90041
Phone (323) 255-8774

4905 York Blvd
Los Angeles, CA 90042
Phone (323) 255-8774

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1336383843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 YORK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421609",
            "telephone_number": "323-255-8774",
            "fax_number": "323-255-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 YORK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421609",
            "telephone_number": "323-255-8774",
            "fax_number": "323-255-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI KHOSROVANI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "KHOSROVANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "323-255-8774",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Briter Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Briter Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.