Organization Active NPI

Kamran Shahsavari DDS Inc

Doing business as comfy Dental Group and Orthodontics

  • General Practice Dentistry
  • Simi Valley, CA
National Provider Identifier
1477930063
Registry record updated May 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55980 Issued in CA
Legal business name
KAMRAN SHAHSAVARI DDS INC
Doing business as
comfy Dental Group and Orthodontics
Practice address
1357 E Los Angeles Ave Ste C1
Simi Valley, CA 93065-2805
Phone
(805) 433-9117
NPI assigned
May 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2015

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

Authorized official

Name
Dr. Kamran Shahsavari, DDS
Title
President
Phone
(805) 433-9117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 55980 CA Primary

Addresses

Primary practice location

1357 E Los Angeles Ave Ste C1
Simi Valley, CA 93065-2805

Mailing address

1357 E Los Angeles Ave Ste C1
Simi Valley, CA 93065-2805
Phone (805) 433-9117

Other identifiers 1

IdentifierTypeStateIssuer
1841485877OtherCA1-INDIVIDUAL

Other names 1

  • comfy Dental Group and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1357 E Los Angeles Ave
Ste C1
Simi Valley, CA 93065
Phone (805) 433-9117

NPI Registry JSON

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

{
    "created_epoch": "1430611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430611200000",
    "number": "1477930063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 E LOS ANGELES AVE STE C1",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652805",
            "telephone_number": "805-433-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 E LOS ANGELES AVE STE C1",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652805",
            "telephone_number": "805-433-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMRAN SHAHSAVARI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-03",
        "last_updated": "2015-05-03",
        "status": "A",
        "authorized_official_last_name": "SHAHSAVARI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-433-9117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1-INDIVIDUAL",
            "identifier": "1841485877",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "comfy Dental Group and Orthodontics",
            "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 May 3, 2015; 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.