NPIMap

Organization Active NPI

Ensieh Mazaheri DDS Inc

  • Dentist
  • Van Nuys, CA
National Provider Identifier
1619315876
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ENSIEH MAZAHERI DDS INC
Practice address
14550 Haynes St
Suite 103
Van Nuys, CA 91411-1613
Phone
(818) 378-8054
NPI assigned
Jun 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Ensieh Mazaheri
Title
Ceo
Phone
(818) 378-8054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

14550 Haynes St
Suite 103
Van Nuys, CA 91411-1613

Mailing address

14550 Haynes St
Suite 103
Van Nuys, CA 91411-1613

National Provider Directory

National Provider Directory
Tax ID family
Ensieh Mazaheri DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14550 Haynes St
Ste 103
Van Nuys, CA 91411
Phone (818) 378-8054

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1619315876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 HAYNES ST",
            "address_2": "SUITE 103",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 HAYNES ST",
            "address_2": "SUITE 103",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111613",
            "telephone_number": "818-378-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSIEH MAZAHERI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "MAZAHERI",
        "authorized_official_first_name": "ENSIEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-378-8054"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.