Individual provider Active NPI

Shahrzad Morim

  • Endodontics
  • Beverly Hills, CA
National Provider Identifier
1467719997
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
100127 Issued in CA
Practice address
406 N Palm Dr Apt 202
Beverly Hills, CA 90210-4026
Phone
(310) 413-0155
NPI assigned
Apr 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Endodontics 1223E0200X 100127 CA Primary

Addresses

Primary practice location

406 N Palm Dr Apt 202
Beverly Hills, CA 90210-4026

Mailing address

406 N Palm Dr Apt 202
Beverly Hills, CA 90210-4026
Phone (310) 413-0155

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

State licenses

LicenseStateTypeSpecialty
100127CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1467719997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N PALM DR APT 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104026",
            "telephone_number": "310-413-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N PALM DR APT 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104026",
            "telephone_number": "310-413-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIM",
        "first_name": "SHAHRZAD",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-22",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "100127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.