NPIMap

Organization Active NPI

Behnaz Sepehripour, DDS a Professional Dental Corporation

Doing business as american dental center of canoga park

  • General Practice Dentistry
  • Canoga Park, CA
National Provider Identifier
1609045939
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42224 Issued in CA
Legal business name
BEHNAZ SEPEHRIPOUR, DDS A PROFESSIONAL DENTAL CORPORATION
Doing business as
american dental center of canoga park
Practice address
8320 Desoto Ave
Canoga Park, CA 91304-2701
Phone
(818) 883-1234
Fax
(818) 883-9781
NPI assigned
Feb 20, 2008
Last updated
Jan 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Dr. Behnaz Sepehripour, DDS
Title
Owner Dentist
Phone
(818) 883-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42224 CA Primary

Addresses

Primary practice location

8320 Desoto Ave
Canoga Park, CA 91304-2701

Mailing address

8320 Desoto Ave
Canoga Park, CA 91304-1746
Phone (818) 883-1234

Other identifiers 1

IdentifierTypeStateIssuer
G9416401OtherCADENTICAL

Other names 1

  • american dental center of canoga park Doing business as

National Provider Directory

National Provider Directory

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": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1609045939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 DESOTO AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913041746",
            "telephone_number": "818-883-1234",
            "fax_number": "818-883-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 DESOTO AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913042701",
            "telephone_number": "818-883-1234",
            "fax_number": "818-883-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHNAZ SEPEHRIPOUR, DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "SEPEHRIPOUR",
        "authorized_official_first_name": "BEHNAZ",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "818-883-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9416401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "american dental center of canoga park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.