Shahram Nouri Dental Corp.

Primary specialty

DentistTaxonomy code 122300000X

License

48974 Issued in CA

Legal business name

SHAHRAM NOURI DENTAL CORP.

Practice address

5216 Laurel Canyon Blvd
Valley Village, CA 91607-2710

Phone

(818) 769-1347

Fax

(818) 769-3563

NPI assigned

Mar 14, 2018

Organization subpart

Yes

Parent organization

SHAHRAM NOURI DENTAL CORP.As reported in NPPES

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

Authorized official

Name

Shahram Nouri

Title

Dentist

Phone

(818) 885-5200

Specialties & licenses 1

Addresses

Part of

Shahram Nouri Dental Corp

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Shahram Nouri Dental Corp.

  • Dentist
  • Northridge, CA
  • NPI 1356587703
  NPPES parent name

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1356844583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 RESEDA BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242926",
            "telephone_number": "818-885-5200",
            "fax_number": "818-885-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 LAUREL CANYON BLVD",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072710",
            "telephone_number": "818-769-1347",
            "fax_number": "818-769-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRAM NOURI DENTAL CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAHRAM NOURI DENTAL CORP.",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "NOURI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-885-5200"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam M Secore, MA
• Elisa R Semel, MPT
• Sima Semmel, LCSW
• Maggie W Sepkowitz, LCSW
• Galya Seregi, M.S. COUNSELING
• Shai Asarkaya
• Shaid Hospice, Inc
• Audrey Beth Shapiro Gimpel, MASSAGE THERAPIST
• Diego Share-Vargas
• Halim Sahib Shariff, RN

• Dentist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.