Active NPI
Ebrahimi & Balazadeh Dental Corp
- General Practice Dentistry
- Canyon Country, CA
National Provider Identifier
1679258867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- EBRAHIMI & BALAZADEH DENTAL CORP
- Practice address
- 18279 Soledad Canyon Rd
Canyon Country, CA 91387-3533 - Phone
- (818) 808-2070
- NPI assigned
- Jun 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Honey Balazadeh, DMD
- Title
- Dentist
- Phone
- (818) 808-2070
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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | |||
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X | |||
| Periodontics | 1223P0300X | |||
| Prosthodontics | 1223P0700X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | |||
| Dental Hygienist | 124Q00000X |
Addresses
Primary practice location
18279 Soledad Canyon Rd
Canyon Country, CA 91387-3533
Mailing address
18279 Soledad Canyon Rd
Canyon Country, CA 91387-3533
Phone (818) 808-2070
National Provider Directory
National Provider DirectoryLocations
18279 Soledad Canyon Rd
Canyon Country, CA 91387
Phone (661) 299-4440
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Canyon Country, CA
- NPI 1407261308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686873600000",
"number": "1679258867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18279 SOLEDAD CANYON RD",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913873533",
"telephone_number": "818-808-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18279 SOLEDAD CANYON RD",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913873533",
"telephone_number": "818-808-2070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EBRAHIMI & BALAZADEH DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-16",
"last_updated": "2023-06-16",
"certification_date": "2023-06-15",
"status": "A",
"authorized_official_last_name": "BALAZADEH",
"authorized_official_first_name": "HONEY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "818-808-2070",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Dental Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canyon Country, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.