Penhasian Shamsian Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PENHASIAN SHAMSIAN DENTAL CORPORATION

Doing business as

Kids Dental Pals & Orthodontics

Practice address

2410 Sycamore Dr Ste a
Simi Valley, CA 93065-2358

Phone

(310) 500-6980

NPI assigned

Nov 27, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Alex Penhasian, DDS

Title

Ceo

Phone

(310) 500-6980

Specialties & licenses 7

Addresses

Other names 1

• Kids Dental Pals & Orthodontics Doing business as

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1669298287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SYCAMORE DR STE A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652358",
            "telephone_number": "310-500-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SYCAMORE DR STE A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652358",
            "telephone_number": "310-500-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENHASIAN SHAMSIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "PENHASIAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-500-6980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Pals & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Payam Kashfian, M.D., Inc.
• Noel Payan
• Julio Pebe, FNP-BC
• Joey Pedram, D.D.S.
• Jaimie Beth Pekow
• Samantha Marie Perera
• Alejandra Perez Arellano, RDN
• Eric Perez Salgado
• Jose Salvador Perez-Oliman
• Emelia Perez, M.D.

• Dentist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.