Active NPI
Shahram Nouri Dental Corp.
- Dentist
- Valley Village, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48974
- 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
- Last updated
- Mar 14, 2018
- Organization subpart
- Yes
- Parent organization
- SHAHRAM NOURI DENTAL CORP.
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 48974 | CA | Primary |
Addresses
Primary practice location
5216 Laurel Canyon Blvd
Valley Village, CA 91607-2710
Mailing address
9318 Reseda Blvd
Northridge, CA 91324-2926
Phone (818) 885-5200
National Provider Directory
National Provider Directory- Part of
- Shahram Nouri Dental Corp
Locations
9318 Reseda Blvd
Northridge, CA 91324
Phone (818) 885-5200
Ownership & related parties
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.
-
- Dentist
- Northridge, CA
- NPI 1356587703
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.
-
- General Practice Dentistry
- Northridge, CA
- NPI 1912069170
NPI Registry JSON
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": []
}Other providers in Valley Village, CA
Sources for this page
- 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.