TMJ and Sleep Therapy Centre of Conejo Valley

Primary specialty

DentistTaxonomy code 122300000X

License

DDS48020 Issued in CA

Legal business name

TMJ AND SLEEP THERAPY CENTRE OF CONEJO VALLEY

Practice address

558 Saint Charles Dr # 201
Thousand Oaks, CA 91360-3903

Phone

(805) 496-5700

Fax

(805) 496-5719

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Esmail Shirazi, D.D.S.NPI 1659422194

Title

Director

Phone

(805) 496-5700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• David Esmail Shirazi, DDS Other name

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• TMJ & Sleep Therapy Centre of Los Angeles

  • Dentist
  • Los Angeles, CA
  • NPI 1215391289
  NPPES parent name

Practitioners 1

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

• David Esmall Shirazi, D.D.S.

  • Dentist
  • Thousand Oaks, CA
  • NPI 1659422194
  NPD (past) Authorized official

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1508045790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 SAINT CHARLES DR # 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603903",
            "telephone_number": "805-496-5700",
            "fax_number": "805-496-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 SAINT CHARLES DR # 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603903",
            "telephone_number": "805-496-5700",
            "fax_number": "805-496-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ AND SLEEP THERAPY CENTRE OF CONEJO VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ESMAIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-496-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS48020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CA",
            "identifier": "DDS48020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE BOARD",
            "identifier": "AC11429",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Esmail Shirazi, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Marie Tincher, DDS
• Tatum Machael Tinoco
• Josh Tirado
• Maritoni Tizon-Damiano, NP
• TMJ and Sleep Therapy Centre
• Amanda Tobias
• Shirley A.Q. Tolman, AMFT
• Tom Measles MD Prof Corp
• Lauren Nu Quynh Ton, RPH
• Paul H Toomer, M.D.

• Dentist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.