Siamak Khakshooy D.D.S Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

54539 Issued in CA

Legal business name

SIAMAK KHAKSHOOY D.D.S INC.

Practice address

3451 W Century Blvd Ste B1
Inglewood, CA 90303-1228

Phone

(310) 330-9000

Fax

(310) 330-9303

NPI assigned

Aug 21, 2007

Organization subpart

Yes

Parent organization

SIAMAK KHAKSHOOY D.D.S INC.As reported in NPPES

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

Authorized official

Name

Siamak Khakshooy, D.D.S

Title

Dentist

Phone

(310) 925-9991

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Siamak Khakshooy DDS Inc

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1396938569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 W CENTURY BLVD STE B1",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903031228",
            "telephone_number": "310-330-9000",
            "fax_number": "310-330-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 W CENTURY BLVD STE B1",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903031228",
            "telephone_number": "310-330-9000",
            "fax_number": "310-330-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIAMAK KHAKSHOOY D.D.S INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIAMAK KHAKSHOOY D.D.S INC.",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "KHAKSHOOY",
        "authorized_official_first_name": "SIAMAK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-925-9991",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "1750437109",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Elaine Shipley, PA
• Shorr & Smith MDS
• Robert Michael Shorr, M.D.
• Phoebe Georgina Shorter, BA
• Harisharan Shrestha, M.D.
• Angelica Sievers, MA
• Mariana Silva-Nichols, BSW
• Joseph David Silverstein, P.A.
• Simisola Pharmacy Inc
• Deborah Simmons, RN

• Dentist in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.