Active NPI
Shahrzad Sami-Dowlatshahi, DDS
- Pediatric Dentistry
- Los Angeles, CA
National Provider Identifier
1437301702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 57837
- Practice address
- 23-022 Den BLDG Box 951668
Los Angeles, CA 90095-0001 - Phone
- (310) 720-1070
- NPI assigned
- Oct 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 57837 | CA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 57837 | CA |
Addresses
Primary practice location
23-022 Den BLDG Box 951668
Los Angeles, CA 90095-0001
Mailing address
18030 Rancho St
Encino, CA 91316-4213
Phone (310) 720-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224288000000",
"number": "1437301702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18030 RANCHO ST",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164213",
"telephone_number": "310-720-1070",
"fax_number": "818-761-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23-022 DEN BLDG BOX 951668",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-720-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMI-DOWLATSHAHI",
"first_name": "SHAHRZAD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-18",
"last_updated": "2008-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "57837",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "57837",
"primary": false
}
],
"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 Oct 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.