Shervin M Molayem, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

58968 Issued in CA

Practice address

264 S la Cienega Blvd # 943
Beverly Hills, CA 90211-3302

Phone

(310) 422-3851

NPI assigned

Nov 16, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Molayem Dental Corporation

  • Dentist
  • Woodland Hills, CA
  • NPI 1083039895
  NPD

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1407183205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 S LA CIENEGA BLVD # 943",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113302",
            "telephone_number": "310-422-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S LA CIENEGA BLVD # 943",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113302",
            "telephone_number": "310-422-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLAYEM",
        "first_name": "SHERVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-16",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "58968",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "6153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elham Mojtahedian, MFT
• David Mok
• Mokgadi Florence Mokgobu, APCC
• Mathew Mokhtarzadeh, DDS
• Mola Medical Practice Inc
• Sid Saied Molayem, DDS
• Hossein Molazadeh-Yazdi, M.D.
• Molecular Imaging Center of Beverly Hills, LLC
• Erica E Molina, PT
• Monaco Clinical and Forensic Psychological Services, P.C.

• Periodontics in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.