Organization Active NPI

Soheil Khodadadi DMD DDS Inc

Doing business as Vermont Dental Care

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1356518054
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39024 Issued in CA
Legal business name
SOHEIL KHODADADI DMD DDS INC
Doing business as
Vermont Dental Care
Practice address
8914 S Vermont Ave
Los Angeles, CA 90044-4834
Phone
(323) 750-3370
Fax
(323) 750-2485
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Soheil Khodadadi, DMD DDS
Title
Owner/Ceo
Phone
(323) 750-3370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39024 CA Primary

Addresses

Primary practice location

8914 S Vermont Ave
Los Angeles, CA 90044-4834

Mailing address

8914 S Vermont Ave
Los Angeles, CA 90044-4834
Phone (323) 750-3370

Other identifiers 1

IdentifierTypeStateIssuer
1710042478OtherCANPI NUMBER

Other names 1

  • Vermont Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

8914 S Vermont Ave
Los Angeles, CA 90044
Phone (323) 750-3370

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1356518054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8914 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444834",
            "telephone_number": "323-750-3370",
            "fax_number": "323-750-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8914 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444834",
            "telephone_number": "323-750-3370",
            "fax_number": "323-750-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHEIL KHODADADI DMD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "KHODADADI",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "323-750-3370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1710042478",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermont Dental Care",
            "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 May 12, 2008; 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.