Organization Active NPI

Khodadadi DDS, Inc.

  • Dentist
  • North Hollywood, CA
National Provider Identifier
1346102498
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KHODADADI DDS, INC.
Practice address
6130 Laurel Canyon Blvd Ste 107
North Hollywood, CA 91606-3280
Phone
(310) 666-9024
NPI assigned
Nov 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Michael Nedjat-Haiem, DDS
Title
President
Phone
(310) 666-9024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6130 Laurel Canyon Blvd Ste 107
North Hollywood, CA 91606-3280

Mailing address

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

Other names 1

  • Uniq Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6130 Laurel Canyon Blvd
Ste 107
North Hollywood, CA 91606
Phone (310) 666-9024

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1346102498",
    "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": "6130 LAUREL CANYON BLVD STE 107",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063280",
            "telephone_number": "310-666-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHODADADI DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "NEDJAT-HAIEM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-666-9024",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uniq Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.