Sara Shirazi Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SARA SHIRAZI DENTAL CORP

Practice address

15701 Crenshaw Blvd
Gardena, CA 90249-4529

Phone

(310) 592-5318

NPI assigned

Sep 21, 2023

Last updated

Sep 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sara Shirazi, DDSNPI 1265838338

Title

Ceo

Phone

(310) 592-5318

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Shirazi

  • Dentist
  • Woodland Hills, CA
  • NPI 1265838338
  NPD Authorized official

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1396523122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 S SHENANDOAH ST APT 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352173",
            "telephone_number": "310-592-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494529",
            "telephone_number": "310-592-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA SHIRAZI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-592-5318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Gabriela Santos, MSW
• Erwin Santos
• Socry Iromi Santos
• Veronica Santos
• Tabetha Nicole Sanxhez
• Sarah Laura Pou DDS Inc
• Sarang Chiropractic Inc.
• Divinity Sardin, LCSW
• Betty Sarkissian, NONE
• Tiffany M Sasada

• Dental Clinic/Center in Gardena, CA
• Providers in Gardena, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.