Organization Active NPI

S. Khodadadi Dental Corporation

  • Dentist
  • Torrance, CA
National Provider Identifier
1548122690
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
S. KHODADADI DENTAL CORPORATION
Practice address
1305 Sepulveda Blvd Unit 2
Torrance, CA 90501-5002
Phone
(310) 666-9024
NPI assigned
Nov 26, 2025
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Michael Nedjat-Haiem, DDSNPI 1497387559
Title
President
Phone
(310) 666-9024

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

1305 Sepulveda Blvd Unit 2
Torrance, CA 90501-5002

Mailing address

200 N Swall Dr Unit 504
Beverly Hills, CA 90211-4725
Phone (310) 666-9024

National Provider Directory

National Provider Directory

Locations

1305 Sepulveda Blvd
Unit 2
Torrance, CA 90501
Phone (310) 666-9024

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": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1548122690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N SWALL DR UNIT 504",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902114725",
            "telephone_number": "310-666-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SEPULVEDA BLVD UNIT 2",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015002",
            "telephone_number": "310-666-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. KHODADADI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "NEDJAT-HAIEM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-666-9024",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.