Shadi Hosseini, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

054116 Issued in NY

Practice address

3561 W Century Blvd
Inglewood, CA 90303-1223

Phone

(310) 890-1977

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1649427832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16192 W SUNSET BLVD",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723463",
            "telephone_number": "310-890-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3561 W CENTURY BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903031223",
            "telephone_number": "310-890-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEINI",
        "first_name": "SHADI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seung Wan Hong, L.AC
• William H. Hong, MD
• Hope House LLC
• Hope Medical Supply,LLC.
• Michaela Hoskins
• Armen Hovhannisyan, MD
• Adaeze F. Howard, M.D.
• Kamryn Howard
• Shonte Marie Howard, PSY.D
• Tyler Howard

• All providers in Inglewood, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.