Active NPI
Niloufar Nouri, D.D.S.
- Dentist
- Van Nuys, CA
National Provider Identifier
1619230836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58787
- Practice address
- 7541 Sepulveda Blvd
Van Nuys, CA 91405-1645 - Phone
- (818) 908-2600
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 58787 | CA | Primary |
Addresses
Primary practice location
7541 Sepulveda Blvd
Van Nuys, CA 91405-1645
Mailing address
7541 Sepulveda Blvd
Van Nuys, CA 91405-1645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151012002496 | CA | Order and Referring Only - Dentist | 9638488786 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58787 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N Orthodontics | Current | Accepting new patients |
Interoperability endpoints
- nnourimahdavi@direct.westerndental.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Valley Village, CA
- NPI 1679407100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1619230836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7541 SEPULVEDA BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7541 SEPULVEDA BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051645",
"telephone_number": "818-908-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOURI",
"first_name": "NILOUFAR",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
- Northeast Valley Health Corporation
- Northeast Valley Health Corporation
- Northeast Valley Health Corporation
- Northeast Valley Health Corporation
- Kyle R. Norton, PA
- Nourish Home Health Services, Inc.
- Nova Luxe Pharmacy
- Nova Surgical Institute
- Nova Surgical Institute LLC
- Nova Vita Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.