David Davoodpour D.D.S, a Professional Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49297 Issued in CA

Legal business name

DAVID DAVOODPOUR D.D.S, A PROFESSIONAL DENTAL CORP.

Practice address

11859 Wilshire Blvd Ste 660
Los Angeles, CA 90025-6621

Phone

(310) 477-4214

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Davoodpour, D.D.S.NPI 1396757134

Title

President

Phone

(310) 477-4214

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Davoodpour, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1396757134
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689722159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S ALMONT DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113548",
            "telephone_number": "310-777-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11859 WILSHIRE BLVD STE 660",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256621",
            "telephone_number": "310-477-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID DAVOODPOUR D.D.S, A PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVOODPOUR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-477-4214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 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.