Organization 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
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
48377 Issued in CA
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

Updated by the provider on Jul 22, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.