NPIMap

Organization Active NPI

TMJ Therapy Sleep Solution LLC

  • Periodontics
  • Los Angeles, CA
National Provider Identifier
1649815697
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
TMJ THERAPY SLEEP SOLUTION LLC
Practice address
11633 San Vicente Blvd Ste 216
Los Angeles, CA 90049-6513
Phone
(310) 826-3399
NPI assigned
Nov 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Farshid Ariz, DMDNPI 1760842009
Title
Owner
Phone
(818) 452-5325

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

11633 San Vicente Blvd Ste 216
Los Angeles, CA 90049-6513

Mailing address

11633 San Vicente Blvd Ste 216
Los Angeles, CA 90049-6513
Phone (310) 826-3399

Other practice location 1

11633 San Vicente Blvd Ste 216
Los Angeles, CA 90049-6513
Phone (818) 452-5325

Other practice location 2

9801 Balboa Blvd
Northridge, CA 91325
Phone (818) 886-6100

National Provider Directory

National Provider Directory

Locations

9801 Balboa Blvd
Northridge, CA 91325
Phone (818) 886-6100

Practitioners & affiliated clinicians

Practitioners 3

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": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1649815697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD STE 216",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496513",
            "telephone_number": "310-826-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD STE 216",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496513",
            "telephone_number": "310-826-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11633 San Vicente Blvd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900496513",
            "country_code": "US",
            "telephone_number": "818-452-5325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9801 Balboa Blvd",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "91325",
            "country_code": "US",
            "telephone_number": "818-886-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TMJ THERAPY SLEEP SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "ARIZ",
        "authorized_official_first_name": "FARSHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-452-5325",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.