NPIMap

Organization Active NPI

H. Reza Shahmohamadi Dental Corporation

  • Dentist
  • North Hollywood, CA
National Provider Identifier
1639215536
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
H. REZA SHAHMOHAMADI DENTAL CORPORATION
Practice address
12509 Oxnard St
201
North Hollywood, CA 91606
Phone
(818) 285-5757
Fax
(818) 285-5760
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Shahmohammadi Hamid Reza
Title
Dentist (Owner)
Phone
(818) 285-5757

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

12509 Oxnard St
201
North Hollywood, CA 91606

Mailing address

12509 Oxnard St
201
North Hollywood, CA 91606
Phone (818) 285-5757

Other names 1

  • Hamlin Dental Grp Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
H Reza a Dental Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

12509 Oxnard St
Ste 201
North Hollywood, CA 91606
Phone (818) 285-5757

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1639215536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 OXNARD ST",
            "address_2": "201",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91606",
            "telephone_number": "818-285-5757",
            "fax_number": "818-285-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12509 OXNARD ST",
            "address_2": "201",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91606",
            "telephone_number": "818-285-5757",
            "fax_number": "818-285-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. REZA SHAHMOHAMADI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "REZA",
        "authorized_official_first_name": "SHAHMOHAMMADI",
        "authorized_official_middle_name": "HAMID",
        "authorized_official_title_or_position": "DENTIST (OWNER)",
        "authorized_official_telephone_number": "818-285-5757"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamlin Dental Grp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.