NPIMap

Organization Active NPI

Ebi Nikjoo DDS Inc

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1487294948
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EBI NIKJOO DDS INC
Practice address
10921 Wilshire Blvd Ste 601
Los Angeles, CA 90024-4003
Phone
(310) 208-8551
Fax
(310) 208-1199
NPI assigned
Jan 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Ebi Nikjoo, DDS
Title
Owner
Phone
(310) 208-8551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10921 Wilshire Blvd Ste 601
Los Angeles, CA 90024-4003

Mailing address

10921 Wilshire Blvd Ste 601
Los Angeles, CA 90024-4003
Phone (310) 208-8551

National Provider Directory

National Provider Directory
Tax ID family
Ebi Nikjoo DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10921 Wilshire Blvd
Ste 601
Los Angeles, CA 90024
Phone (310) 208-8551

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1487294948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 601",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244003",
            "telephone_number": "310-208-8551",
            "fax_number": "310-208-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 601",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244003",
            "telephone_number": "310-208-8551",
            "fax_number": "310-208-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBI NIKJOO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "NIKJOO",
        "authorized_official_first_name": "EBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-208-8551",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 13, 2020; 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.