Individual provider Active NPI

Isaac Kahen Kashani, D.D.S

  • Dentist
  • Encino, CA
National Provider Identifier
1639402225
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58692 Issued in CA
Practice address
16055 Ventura Blvd Ste 510
Encino, CA 91436-2606
Phone
(818) 751-5100
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58692 CA Primary

Addresses

Primary practice location

16055 Ventura Blvd Ste 510
Encino, CA 91436-2606

Mailing address

16055 Ventura Blvd Ste 510
Encino, CA 91436-2606
Phone (818) 751-5100

Other practice location 1

864 N Hacienda Blvd
LA Puente, CA 91744-2847
Phone (626) 333-8133

Other practice location 2

8954 Reseda Blvd
Northridge, CA 91324-3952
Phone (818) 701-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58692CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kashani DDS PC Dentist Current Accepting new patients
Kashani Valencia Advanced Dentistry Dentist CurrentSince Aug 13, 2023 Accepting new patients
Benyaminy and Kashani Dental Corp Current Accepting new patients

Locations

16055 Ventura Blvd
Ste 510
Encino, CA 91436
Phone (818) 751-5100

864 N Hacienda Blvd
La Puente, CA 91744
Phone (626) 333-8133

24587 Copper Hill Dr
Santa Clarita, CA 91354
Phone (661) 775-7717

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1639402225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 510",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362606",
            "telephone_number": "818-751-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 510",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362606",
            "telephone_number": "818-751-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "864 N Hacienda Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Puente",
            "state": "CA",
            "postal_code": "917442847",
            "country_code": "US",
            "telephone_number": "626-333-8133",
            "fax_number": "626-333-9879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8954 Reseda Blvd",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913243952",
            "country_code": "US",
            "telephone_number": "818-701-3010",
            "fax_number": "818-701-0115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHEN KASHANI",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.