NPIMap

Organization Active NPI

Soheil Khodadadi DMD DDS Inc

Doing business as Dental Group of Beverly Hills

  • General Practice Dentistry
  • Beverly Hills, CA
National Provider Identifier
1528235223
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39024 Issued in CA
Legal business name
SOHEIL KHODADADI DMD DDS INC
Doing business as
Dental Group of Beverly Hills
Practice address
250 N Robertson Blvd
Suite 412
Beverly Hills, CA 90211-1788
Phone
(310) 271-3003
Fax
(310) 271-6299
NPI assigned
May 12, 2008
Last updated
May 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Soheil Khodadadi, DMD, DDSNPI 1710042478
Title
Owner/Ceo
Phone
(310) 271-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39024 CA Primary

Addresses

Primary practice location

250 N Robertson Blvd
Suite 412
Beverly Hills, CA 90211-1788

Mailing address

250 N Robertson Blvd
Suite 412
Beverly Hills, CA 90211-1788
Phone (310) 271-3003

Other identifiers 1

IdentifierTypeStateIssuer
1710042478OtherCANPI NUMBER

Other names 1

  • Dental Group of Beverly Hills Doing business as

National Provider Directory

National Provider Directory

Locations

250 N Robertson Blvd
Ste 412
Beverly Hills, CA 90211
Phone (310) 271-3003

Practitioners & affiliated clinicians

Practitioners 2

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": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1528235223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD",
            "address_2": "SUITE 412",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111788",
            "telephone_number": "310-271-3003",
            "fax_number": "310-271-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD",
            "address_2": "SUITE 412",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111788",
            "telephone_number": "310-271-3003",
            "fax_number": "310-271-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHEIL KHODADADI DMD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "KHODADADI",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-271-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1710042478",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Group of Beverly Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.