Individual provider Active NPI

Lyla Maliheh Turkzadeh, DMD

  • Dentist
  • Concord, CA
National Provider Identifier
1548454440
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47199 Issued in CA
Practice address
4450 Clayton Rd
Concord, CA 94521-2846
Phone
(925) 798-2200
Fax
(925) 798-4807
NPI assigned
Sep 4, 2007
Last updated
Sep 4, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 47199 CA Primary

Addresses

Primary practice location

4450 Clayton Rd
Concord, CA 94521-2846

Mailing address

4450 Clayton Rd
Concord, CA 94521-2846
Phone (925) 798-2200

Other identifiers 1

IdentifierTypeStateIssuer
B-47199OtherCAHEALTY FAMILY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
47199CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1548454440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945212846",
            "telephone_number": "925-798-2200",
            "fax_number": "925-798-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945212846",
            "telephone_number": "925-798-2200",
            "fax_number": "925-798-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURKZADEH",
        "first_name": "LYLA",
        "middle_name": "MALIHEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTY FAMILY",
            "identifier": "B-47199",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.