Organization Active NPI

Moshrefi and Daneshmand, DDS, Inc

  • Periodontics
  • Beverly Hills, CA
National Provider Identifier
1366532012
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
46300 Issued in CA
Legal business name
MOSHREFI AND DANESHMAND, DDS, INC
Practice address
9735 Wilshire Blvd
#211
Beverly Hills, CA 90212-2107
Phone
(310) 859-9449
Fax
(310) 859-9451
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Dr. Abdollah Moshrefi, DDS, MS
Title
Ceo
Phone
(310) 859-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 46300 CA Primary

Addresses

Primary practice location

9735 Wilshire Blvd
#211
Beverly Hills, CA 90212-2107

Mailing address

9735 Wilshire Blvd
#211
Beverly Hills, CA 90212-2107
Phone (310) 859-9449

Other names 1

  • MD Periodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1366532012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD",
            "address_2": "#211",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122107",
            "telephone_number": "310-859-9449",
            "fax_number": "310-859-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD",
            "address_2": "#211",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122107",
            "telephone_number": "310-859-9449",
            "fax_number": "310-859-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHREFI AND DANESHMAND, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "MOSHREFI",
        "authorized_official_first_name": "ABDOLLAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-859-9449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "46300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.