NPIMap

Organization Active NPI

Katayoun Setareh Shenas, D.D.S., Inc

Doing business as Simi Valley Dental Group

  • General Practice Dentistry
  • Simi Valley, CA
National Provider Identifier
1649365578
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35324 Issued in CA
Legal business name
KATAYOUN SETAREH SHENAS, D.D.S., INC
Doing business as
Simi Valley Dental Group
Practice address
2410 Sycamore Dr
Ste. a
Simi Valley, CA 93065-2350
Phone
(805) 522-2600
Fax
(805) 522-2683
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Katayoun S Setareh, DDS
Title
Owner DDS
Phone
(805) 522-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 35324 CA Primary

Addresses

Primary practice location

2410 Sycamore Dr
Ste. a
Simi Valley, CA 93065-2350

Mailing address

2860 Michelle Drive
2ND Floor
Irvine, CA 92606
Phone (714) 508-3600

Other names 1

  • SIMI VALLEY DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

2410 Sycamore Dr
Ste A
Simi Valley, CA 93065
Phone (805) 522-2600

Practitioners & affiliated clinicians

Practitioners 2

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1649365578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE DRIVE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92606",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SYCAMORE DR",
            "address_2": "STE. A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652350",
            "telephone_number": "805-522-2600",
            "fax_number": "805-522-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATAYOUN SETAREH SHENAS, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "SETAREH",
        "authorized_official_first_name": "KATAYOUN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "805-522-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMI VALLEY DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.