J. Shayefar, a Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

J. SHAYEFAR, A DENTAL CORPORATION

Practice address

11600 Wilshire Blvd Ste 308
Los Angeles, CA 90025-1783

Phone

(310) 895-8362

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Behnam Shayefar, DMDNPI 1346780715

Title

Owner

Phone

(310) 895-8362

Specialties & licenses 1

Addresses

Other names 1

• Dr. Joshua Shayefar Former legal business name

Locations

Practitioners 1

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

• Joshua Behnam Shayefar, DMD

  • Periodontics
  • Los Angeles, CA
  • NPI 1346780715
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1447094479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 MAYFIELD AVE APT 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495741",
            "telephone_number": "310-895-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251783",
            "telephone_number": "310-895-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. SHAYEFAR, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "SHAYEFAR",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "BEHNAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-895-8362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Joshua Shayefar",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.