Reza Hossein Khani, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109109 Issued in CA

Practice address

1548 N Pacific Ave
Glendale, CA 91202-1214

Phone

(424) 333-3001

NPI assigned

Aug 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1376326777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021214",
            "telephone_number": "424-333-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021214",
            "telephone_number": "424-333-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEIN KHANI",
        "first_name": "REZA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospital Physicians Medical Group, Inc.
• Hospitalist Program of Glendale Memorial a Professional Corporation
• Hospitum Home Care, Inc.
• Hospitum Hospice Care, Inc.
• Hossein Dehghani, MD Inc
• Warren Hosseinion Sr., M.D.
• Faranak Hosseinkhani
• Joseph Hourani
• Hourglass Diagnostics, Inc
• Emily Rose House, DMFT

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.