Individual provider Active NPI

Shahrzad Sami-Dowlatshahi, DDS

  • Pediatric Dentistry
  • Los Angeles, CA
National Provider Identifier
1437301702
Registry record updated Oct 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
57837 Issued in CA
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

Updated by the provider on Oct 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.