Alboorz, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ALBOORZ, LLC

Practice address

49 Keenan St
Watertown, MA 02472-2904

Phone

(310) 401-4300

NPI assigned

Oct 10, 2018

Last updated

Oct 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohamad A Yazdi, DDS, PHD

Title

Member

Phone

(310) 401-4300

Specialties & licenses 2

Addresses

Other names 1

• Kingdom of Smiles Other name

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.

• Mohamedreza Yazdi, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Hills, CA
  • NPI 1497968770
  NPD

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1629543228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PASEO DE ORO",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902721962",
            "telephone_number": "310-401-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 KEENAN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722904",
            "telephone_number": "310-401-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBOORZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "YAZDI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-401-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingdom of Smiles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maryam Akbari, D.M.D, M.P.H, M.D
• Varteni Tina Akian, PHARMD
• Lola Akintobi
• Samah Alananzeh I, MD
• Lauren Alberts, MS OTRL
• Alden Lock & Security, Inc
• Thomas Eliason Alden, D.C.
• Melissa Alexis-Bruce, MFA, CPC
• Sara Mohammed Aljohani, MD
• All Dental Center

• Orthodontics and Dentofacial Orthopedics Dentistry in Watertown, MA
• Providers in Watertown, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.