Neda Shafai DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEDA SHAFAI DDS INC

Practice address

11922 Gorham Ave Apt 4
Los Angeles, CA 90049-5359

Phone

(310) 877-2648

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Neda Shafai, DDS

Title

Dentist

Phone

(310) 877-2648

Specialties & licenses 1

Addresses

Other names 1

• Neda Shafai DDS Inc Doing business as

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1659131506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11922 GORHAM AVE APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495359",
            "telephone_number": "310-877-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11922 GORHAM AVE APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495359",
            "telephone_number": "310-877-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDA SHAFAI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "SHAFAI",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-877-2648",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neda Shafai DDS Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ann Marie Nee
• Elizabeth Grace Nee

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.