Organization Active NPI

Michael Nedjat-Haiem Dental Corporation

  • Endodontics
  • Oxnard, CA
National Provider Identifier
1376379123
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
MICHAEL NEDJAT-HAIEM DENTAL CORPORATION
Practice address
1901 Solar Dr Ste 250
Oxnard, CA 93036-0661
Phone
(805) 853-3636
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Michael Nedjat-Haiem, DDS
Title
President
Phone
(310) 666-9024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1901 Solar Dr Ste 250
Oxnard, CA 93036-0661

Mailing address

200 N Swall Dr Unit 504
Beverly Hills, CA 90211-4725
Phone (310) 666-9024

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1376379123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N SWALL DR UNIT 504",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902114725",
            "telephone_number": "310-666-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOLAR DR STE 250",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360661",
            "telephone_number": "805-853-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL NEDJAT-HAIEM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "NEDJAT-HAIEM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-666-9024",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.