Kohanzadeh Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KOHANZADEH DENTAL CORP

Practice address

1140 E Thousand Oaks Blvd
Thousand Oaks, CA 91362-2815

Phone

(888) 300-0071

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Yoram Kohanzadeh, DDSNPI 1548490410

Title

Owner

Phone

(888) 300-0071

Specialties & licenses 1

Addresses

Other names 1

• Smiles 4 Life Doing business as

Locations

Practitioners 3

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

• Yoram Kohanzadeh, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beverly Hills, CA
  • NPI 1548490410
  NPD Authorized official
• Matthew Ferrin

  • Pediatric Dentistry
  • Oxnard, CA
  • NPI 1811564925
  NPD (past)
• William S Lee, DDS

  • Pediatric Dentistry
  • Granada Hills, CA
  • NPI 1669065108
  NPD (past)

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1427815232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622815",
            "telephone_number": "888-300-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622815",
            "telephone_number": "888-300-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHANZADEH DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "KOHANZADEH",
        "authorized_official_first_name": "YORAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-300-0071",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles 4 Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arthur Leo Kobal, D.D.S.
• Vissy Kobari Wright
• Kofi Kessey MD/PHD Inc. a California Professional Medical Corporation
• Josephine Koger
• Farideh Kohanghadosh, D.D.S.
• Kolar N. Murthy, M.D., Inc.
• Jacob Komberg
• Bumin Kong
• Emily Joy Koops, MOTR/L
• Roberta Gail Kopacz, M.A.

• Dentist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.