Deldental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41913 Issued in CA

Legal business name

DELDENTAL GROUP

Practice address

8035 W Manchester Ave Ste B
Playa del Rey, CA 90293-7985

Phone

(310) 822-8118

Fax

(310) 821-9276

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shahrzad Z Fattahi, DDS

Title

Owner

Phone

(310) 822-8118

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Michelle Bakke, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1336669381
  NPD (past)
• Shahrzad Zarrinnam, D.D.S

  • General Practice Dentistry
  • Playa del Rey, CA
  • NPI 1447320338
  NPD (past)

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1376715771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 W MANCHESTER AVE STE B",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937985",
            "telephone_number": "310-822-8118",
            "fax_number": "310-821-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 W MANCHESTER AVE STE B",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937985",
            "telephone_number": "310-822-8118",
            "fax_number": "310-821-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELDENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "FATTAHI",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-822-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447320338",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ron R Curtis, D.D.S.
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• General Practice Dentistry in Playa del Rey, CA
• Providers in Playa del Rey, 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 Mar 26, 2008; 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.