Organization Active NPI

Razavi Dental Corporation

  • General Practice Dentistry
  • North Hills, CA
National Provider Identifier
1396285342
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61843 Issued in CA
Legal business name
RAZAVI DENTAL CORPORATION
Practice address
9506 Sepulveda Blvd
North Hills, CA 91343-3306
Phone
(818) 830-6181
NPI assigned
Feb 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Taraneh Razavi
Title
Dentist
Phone
(818) 830-6181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 61843 CA Primary

Addresses

Primary practice location

9506 Sepulveda Blvd
North Hills, CA 91343-3306

Mailing address

9506 Sepulveda Blvd
North Hills, CA 91343-3306

National Provider Directory

National Provider Directory

Locations

8719 Woodley Ave
#B
North Hills, CA 91343
Phone (818) 830-6181

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1396285342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9506 SEPULVEDA BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9506 SEPULVEDA BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433306",
            "telephone_number": "818-830-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZAVI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "RAZAVI",
        "authorized_official_first_name": "TARANEH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-830-6181"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.