Pouldar Kimia and Lorenz Dental Partnership

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61127 Issued in CA

Legal business name

POULDAR KIMIA AND LORENZ DENTAL PARTNERSHIP

Practice address

14912 Burbank Blvd
Sherman Oaks, CA 91411-3609

Phone

(480) 619-1415

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Dara KimiaNPI 1295896678

Title

President

Phone

(480) 619-1415

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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

• Brock Jason Lorenz, D.M.D., M.S.

  • Periodontics
  • La Mesa, CA
  • NPI 1861839243
  Medicare reassignment NPD
• Dara Kimia, DMD

  • Dentist
  • Granada Hills, CA
  • NPI 1295896678
  NPD Authorized official
• David Harpaz, DDS

  • Dentist
  • Encino, CA
  • NPI 1952543639
  NPD (past)
• Edwin Jakob Pouldar, DDS

  • Dentist
  • Sherman Oaks, CA
  • NPI 1801403886
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1639624463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14912 BURBANK BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14912 BURBANK BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113609",
            "telephone_number": "480-619-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POULDAR KIMIA AND LORENZ DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "KIMIA",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-619-1415",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61127",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "61270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Porterfield, MFT
• Lucy Giovanna Portillo
• Helena Mica Poteshman, PSY.D.
• Emilee Potter
• Audra Potz, LMFT
• Edwin Jakob Pouldar, DDS
• Ari Pouya
• Lisa Susanne Powell, PSYCHOLOGIST
• Susan Marie Powell, PA-C
• Power of Story LLC

• General Practice Dentistry in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.