NPIMap

Organization Active NPI

Dowlatshahi Dental Corporation

Doing business as Sina Dental Group

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1447345327
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32061 Issued in CA
Legal business name
DOWLATSHAHI DENTAL CORPORATION
Doing business as
Sina Dental Group
Practice address
11645 Wilshire Blvd
Suite 980
Los Angeles, CA 90025
Phone
(310) 820-0022
Fax
(310) 820-4562
NPI assigned
Oct 4, 2006
Last updated
May 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Mr. Houshang Dowlatshahi, DMDNPI 1154620409
Title
President Owner
Phone
(310) 820-0022

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
Dentist 122300000X 32061 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd
Suite 980
Los Angeles, CA 90025

Mailing address

11645 Wilshire Blvd
Suite 980
Los Angeles, CA 90025
Phone (310) 820-0022

Other names 1

  • Sina Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

11645 Wilshire Blvd
Ste 980
Los Angeles, CA 90025
Phone (310) 820-0022

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1447345327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 980",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-820-0022",
            "fax_number": "310-820-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 980",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-820-0022",
            "fax_number": "310-820-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWLATSHAHI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "DOWLATSHAHI",
        "authorized_official_first_name": "HOUSHANG",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "310-820-0022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sina Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 25, 2016; 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.