Organization Active NPI

Katayoun Setareh Dental Corporation

  • General Practice Dentistry
  • Simi Valley, CA
National Provider Identifier
1467693382
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KATAYOUN SETAREH DENTAL CORPORATION
Doing business as
SIMI VALLEY SMILES
Simi Valley Smiles Dental Group
Practice address
2650 Tapo Canyon Rd
Suite 107
Simi Valley, CA 93063-2308
Phone
(805) 522-5516
Fax
(805) 578-9079
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Dr. Katayoun Setareh, DDS
Title
Owner Doctor
Phone
(805) 522-5516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2650 Tapo Canyon Rd
Suite 107
Simi Valley, CA 93063-2308

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 368-2077

Other names 2

  • SIMI VALLEY SMILES Doing business as
  • Simi Valley Smiles Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2650 Tapo Canyon Rd
Ste 107
Simi Valley, CA 93063
Phone (805) 522-5516

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1467693382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 TAPO CANYON RD",
            "address_2": "SUITE 107",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632308",
            "telephone_number": "805-522-5516",
            "fax_number": "805-578-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATAYOUN SETAREH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "SETAREH",
        "authorized_official_first_name": "KATAYOUN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "805-522-5516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMI VALLEY SMILES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Simi Valley Smiles Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.