NPIMap

Organization Active NPI

Marjan Mohammadi D.D.S. Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1679005045
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49940 Issued in CA
Legal business name
MARJAN MOHAMMADI D.D.S. INC.
Practice address
550 N Larchmont Blvd Ste 103
Los Angeles, CA 90004-1318
Phone
(323) 962-6000
Fax
(323) 962-6002
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Marjan Mohammadi, D.D.S.NPI 1073695664
Title
Owner
Phone
(323) 962-6000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 49940 CA Primary

Addresses

Primary practice location

550 N Larchmont Blvd Ste 103
Los Angeles, CA 90004-1318

Mailing address

550 N Larchmont Blvd Ste 103
Los Angeles, CA 90004-1318
Phone (323) 962-6000

Other names 1

  • Smile DZine Other name

National Provider Directory

National Provider Directory
Tax ID family
Marjan Mohammadi DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1679005045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N LARCHMONT BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041318",
            "telephone_number": "323-962-6000",
            "fax_number": "323-962-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N LARCHMONT BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041318",
            "telephone_number": "323-962-6000",
            "fax_number": "323-962-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJAN MOHAMMADI D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADI",
        "authorized_official_first_name": "MARJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-962-6000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile DZine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 3, 2017; 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.