Tala Eftekhari Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TALA EFTEKHARI DENTAL CORPORATION

Practice address

4955 Van Nuys Blvd Ste 716
Sherman Oaks, CA 91403-1843

Phone

(813) 625-4147

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Tala Eftekhari, DDSNPI 1407408222

Title

President

Phone

(813) 625-4147

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tala Eftekhari, DDS

  • Dentist
  • Sherman Oaks, CA
  • NPI 1407408222
  NPD Authorized official

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1629682349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10747 WILSHIRE BLVD APT 1308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244409",
            "telephone_number": "813-625-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 716",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031843",
            "telephone_number": "813-625-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALA EFTEKHARI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "EFTEKHARI",
        "authorized_official_first_name": "TALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-625-4147",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deva Taffel, PSY.D.
• Parastoo Taghinia, DAOM
• Venette Tagoc
• Lucy Danielle Taillieu, PSYD
• Isaac Takeuchi Wanlass, PT, DPT
• Christopher Talavera
• Desiree Talavera
• Anahita Talebi, BS
• Claire Talle
• Susan Angie Tamale, NP

• Dental Clinic/Center in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.