NPIMap

Organization Active NPI

Benjamin Pourmorady DDS a Professional Corporation Inc.

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1417613746
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC.
Practice address
6200 Wilshire Blvd Ste 1109
Los Angeles, CA 90048-5812
Phone
(323) 238-8114
Fax
(323) 933-3268
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Benjamin Pourmorady, DDSNPI 1447704580
Title
Owner
Phone
(310) 801-5828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6200 Wilshire Blvd Ste 1109
Los Angeles, CA 90048-5812

Mailing address

144 N Willaman Dr
Beverly Hills, CA 90211-2113

National Provider Directory

National Provider Directory

Locations

6200 Wilshire Blvd
Ste 1109
Los Angeles, CA 90048
Phone (323) 238-8114

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1417613746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 N WILLAMAN DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD STE 1109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485812",
            "telephone_number": "323-238-8114",
            "fax_number": "323-933-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN POURMORADY DDS A PROFESSIONAL CORPORATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "POURMORADY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-801-5828",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.