Taheri Dental Practice, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TAHERI DENTAL PRACTICE, PC

Practice address

30313 Canwood St Ste 36
Agoura Hills, CA 91301-2094

Phone

(818) 991-6718

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Daniele Capone

Title

Coo

Phone

(818) 991-6718

Specialties & licenses 1

Addresses

Other names 1

• Agoura Smile Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Nadia E Taheri, DMD

  • General Practice Dentistry
  • North Hollywood, CA
  • NPI 1275089567
  NPD

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1659084606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST STE 36",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012094",
            "telephone_number": "818-991-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST STE 36",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012094",
            "telephone_number": "818-991-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHERI DENTAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "CAPONE",
        "authorized_official_first_name": "DANIELE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "818-991-6718",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@agourasmile.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30313 Canwood St Ste 36",
            "city": "Agoura Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913012094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Agoura Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Stone, DPT
• Yakov Suleymanov, PHARM.D
• Sunlight Psychological Services
• Suzanne Berger, DDS, Inc
• Hessam M Taghizadeh-Toossi, DDS
• Bahareh Talei, PSY.D.
• Sue Ellen Talley, LMFT
• Laya M. Tamar, M.S.W
• Xuanling Tang, LAC
• Tao ABA

• All providers in Agoura Hills, CA
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.