NPIMap

Organization Active NPI

Homeira Firoozeh& Mahvash Emamisadr Inc

Doing business as Lyons Dental Care

  • Dentist
  • Newhall, CA
National Provider Identifier
1679631873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38049 Issued in CA
Legal business name
HOMEIRA FIROOZEH& MAHVASH EMAMISADR INC
Doing business as
Lyons Dental Care
Practice address
24036 Lyons Ave
Newhall, CA 91321
Phone
(661) 255-1015
Fax
(661) 255-2812
NPI assigned
Dec 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mahvash Emamisadr, DDS
Title
Owner
Phone
(661) 255-1015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38049 CA Primary
Dentist 122300000X 38679 CA

Addresses

Primary practice location

24036 Lyons Ave
Newhall, CA 91321

Mailing address

24036 Lyons Ave
Newhall, CA 91321
Phone (661) 255-1015

Other names 1

  • Lyons Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Homeira Firoozeh Mahvash Emami Sadr 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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679631873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24036 LYONS AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-255-1015",
            "fax_number": "661-255-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24036 LYONS AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-255-1015",
            "fax_number": "661-255-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEIRA FIROOZEH& MAHVASH EMAMISADR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMAMISADR",
        "authorized_official_first_name": "MAHVASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-255-1015",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38049",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyons Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.