KH Nourishad Inc

Primary specialty

DentistTaxonomy code 122300000X

License

38892 Issued in CA

Legal business name

KH NOURISHAD INC

Practice address

17703 Vanowen St
Reseda, CA 91335-5602

Phone

(818) 609-0009

Fax

(818) 609-1158

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Khashayar Nourishad, D.D.S.

Title

Ceo

Phone

(818) 609-0009

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kass Nourishad, D.D.S.

  • Dentist
  • Reseda, CA
  • NPI 1104945252
  NPD
• Hamid Daneshmand, D.D.S.

  • Periodontics
  • Reseda, CA
  • NPI 1639396385
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1689794745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17227",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914167227",
            "telephone_number": "818-609-0009",
            "fax_number": "818-609-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17703 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355602",
            "telephone_number": "818-609-0009",
            "fax_number": "818-609-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KH NOURISHAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "NOURISHAD",
        "authorized_official_first_name": "KHASHAYAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-609-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keswick Home
• Keswick House
• Kevin Thai Le DDS, Inc
• Keyvan Bamshad D.D.S., Inc.
• Behnam Keyvan, M.F.T.
• Khadavi Dental Group
• Yelena Kharchenko
• Kristine Khashaki, PHARMD
• Rupinder Kaur Khosa
• Sana Khouri

• Dentist in Reseda, CA
• Providers in Reseda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.