Nader Ahdout D.D.S. Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NADER AHDOUT D.D.S. INC

Practice address

22116 Ventura Blvd
Woodland Hills, CA 91364-1648

Phone

(818) 340-3062

NPI assigned

Nov 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nader Ahdout, D.D.S.NPI 1528282373

Title

President

Phone

(818) 340-3062

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Nader Ahdout, D.D.S.

  • General Practice Dentistry
  • Woodland Hills, CA
  • NPI 1528282373
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1447656707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22116 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22116 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641648",
            "telephone_number": "818-340-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER AHDOUT D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "AHDOUT",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-340-3062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41054-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon S. Myers, MD
• Mystic Recovery, LLC
• Laura Marie Naas, MFT
• Jawai Nabau Stevens, NP
• Andrew Nadell, MFT
• Bunichi Nagakawa, MD
• Vasantha Nagasandra, MD
• Krystle Ann Nagasawa, MD
• Marci Elizabeth Nagel
• Bettina Nagy, DPT

• General Practice Dentistry in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.