Faraz Michael Khorshidi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100251 Issued in CA

Practice address

9735 Wilshire Blvd Ste 404
Beverly Hills, CA 90212-2103

Phone

(424) 285-4043

NPI assigned

Jun 5, 2015

Last updated

May 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Khorshidi DDS a Dental Corporation

  dba Khorshidi Dental

  • Dental Clinic/Center
  • Beverly Hills, CA
  • NPI 1699491340
  NPD Authorized official

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1689054504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122103",
            "telephone_number": "424-285-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122103",
            "telephone_number": "424-285-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORSHIDI",
        "first_name": "FARAZ",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afshin James Khodabakhsh, MD
• Khodadadi Dental Corporation (Biologic Endodontics)
• Soheil Khodadadi, D.D.S.
• Naz Khodayari, D.D.S.
• Jahandar Khoei
• Kavia Khosla, MD
• Mohammad Ryan Khosravi, M.D.
• Anjel Khoubian, L.AC.
• Antoine Kenneth Khoury, DO
• Sepideh Kiani

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, 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 May 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.