Robert Minoofar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50079 Issued in CA

Practice address

9518 Hunt Club LN
Chatsworth, CA 91311-2683

Phone

(310) 709-5251

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1629152251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14976 FOOTHILL BLVD STE 100",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923357045",
            "telephone_number": "909-350-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 HUNT CLUB LN",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112683",
            "telephone_number": "310-709-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOOFAR",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045534",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4844T",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lisette Mendez
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• Lisset A Menendez
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• Nadine Josephine Michail, LAC
• Neda Mary Mirgoli
• Naaz Mirreghabie
• Vikram Mishra, D.D.S
• MK Raymond Dental Corporation PC
• Mobile Physician RX PC

• General Practice Dentistry in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.