Sohrab Moshiri, DDS PS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

53522 Issued in CA

Practice address

23111 Ventura Blvd
Suite 202
Woodland Hills, CA 91364-1103

Phone

(818) 518-5020

Fax

(818) 222-2588

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DentistAlso: Oral Surgery

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sohrab Moshiri, DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodland Hills, CA
  • NPI 1003255852
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1528039138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23111 VENTURA BLVD",
            "address_2": "SUITE 202",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641103",
            "telephone_number": "818-518-5020",
            "fax_number": "818-222-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23111 VENTURA BLVD",
            "address_2": "SUITE 202",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641103",
            "telephone_number": "818-518-5020",
            "fax_number": "818-222-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHIRI",
        "first_name": "SOHRAB",
        "credential": "DDS PS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "5739",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "4881",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "53522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ilene Morrison
• Shaquitta Ann Morton
• Gina Marie Moscozo
• Edith Moses
• Orr Moshe, RD
• Mandana Moshtael
• Michelle Moskowitz, M.S.
• Jasmin Mosley Gooden, D.O
• Cassidy R Moss
• Robert A. Moss, MD

• Oral and Maxillofacial Surgery (Dentist) in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.