Active NPI
Shahram Ameripour & Ramin Shenevad a Dental Corp
Doing business as Santa Monica Dental ASSociates
- Dental Clinic/Center
- Los Angeles, CA
National Provider Identifier
1568674596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 48377
- Legal business name
- SHAHRAM AMERIPOUR & RAMIN SHENEVAD A DENTAL CORP
- Doing business as
- Santa Monica Dental ASSociates
- Practice address
- 11775 Santa Monica Blvd
Los Angeles, CA 90025-2843 - Phone
- (310) 444-1818
- Fax
- (310) 444-3196
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shahram Ameripour Sr., D.D.S
- Title
- Owner
- Phone
- (310) 444-1818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 48377 | CA | Primary |
Addresses
Primary practice location
11775 Santa Monica Blvd
Los Angeles, CA 90025-2843
Mailing address
11775 Santa Monica Blvd
Los Angeles, CA 90025-2843
Phone (310) 444-1818
Other names 1
- Santa Monica Dental ASSociates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216684800000",
"number": "1568674596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11775 SANTA MONICA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252843",
"telephone_number": "310-444-1818",
"fax_number": "310-444-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11775 SANTA MONICA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252843",
"telephone_number": "310-444-1818",
"fax_number": "310-444-3196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAHRAM AMERIPOUR & RAMIN SHENEVAD A DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2008-07-22",
"status": "A",
"authorized_official_last_name": "AMERIPOUR",
"authorized_official_first_name": "SHAHRAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-444-1818",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "48377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Santa Monica Dental ASSociates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.