Organization Active NPI

Dadjoo and Cox Dental Corporation PC

  • Dental Clinic/Center
  • Porter Ranch, CA
National Provider Identifier
1639920671
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DADJOO AND COX DENTAL CORPORATION PC
Practice address
19950 Rinaldi St Ste 306
Porter Ranch, CA 91326-4254
Phone
(818) 831-7600
NPI assigned
Mar 28, 2024
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Shaahin DadjooNPI 1578185302
Title
Owner
Phone
(818) 831-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

19950 Rinaldi St Ste 306
Porter Ranch, CA 91326-4254

Mailing address

19950 Rinaldi St Ste 306
Porter Ranch, CA 91326-4254
Phone (818) 831-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240708003537 CA DME Supplier - Oral Surgery - Dentist 5890230429 Practice locations: Porter Ranch, CA

National Provider Directory

National Provider Directory

Locations

19950 Rinaldi St
Ste 306
Porter Ranch, CA 91326
Phone (818) 831-7600

19950 Rinaldi St
Ste 308
Porter Ranch, CA 91326

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1639920671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19950 RINALDI ST STE 306",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264254",
            "telephone_number": "818-831-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19950 RINALDI ST STE 306",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264254",
            "telephone_number": "818-831-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADJOO AND COX DENTAL CORPORATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "DADJOO",
        "authorized_official_first_name": "SHAAHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-831-7600"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.