Organization Active NPI

Behzad Shirazi Inc, a Professional Dental Corporation

Doing business as S.C.Dental Care

  • Dental Clinic/Center
  • Studio City, CA
National Provider Identifier
1487893798
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BEHZAD SHIRAZI INC, A PROFESSIONAL DENTAL CORPORATION
Doing business as
S.C.Dental Care
Practice address
4366 Tujunga Ave
Studio City, CA 91604-2751
Phone
(818) 985-5462
Fax
(818) 985-2612
NPI assigned
Feb 10, 2009
Last updated
Apr 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Behzad Shirazi Ardestani, DDS
Title
Owner
Phone
(818) 985-5462

Specialties & licenses 1

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

Addresses

Primary practice location

4366 Tujunga Ave
Studio City, CA 91604-2751

Mailing address

4366 Tujunga Ave
Studio City, CA 91604-2751
Phone (818) 985-5462

Other names 1

  • S.C.Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4366 Tujunga Ave
Studio City, CA 91604
Phone (818) 985-5462

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1487893798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4366 TUJUNGA AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042751",
            "telephone_number": "818-985-5462",
            "fax_number": "818-985-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4366 TUJUNGA AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042751",
            "telephone_number": "818-985-5462",
            "fax_number": "818-985-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHZAD SHIRAZI INC, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI ARDESTANI",
        "authorized_official_first_name": "BEHZAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-985-5462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.C.Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.