Organization Active NPI

Nikzad Nafisi DDS Inc

  • Dental Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1699294306
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NIKZAD NAFISI DDS INC
Practice address
4521 Sherman Oaks Ave Ste 201
Sherman Oaks, CA 91403-3807
Phone
(310) 867-5885
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Authorized official

Name
Nikzad Nafisi, DMD
Title
President
Phone
(954) 634-2491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X CA Primary

Addresses

Primary practice location

4521 Sherman Oaks Ave Ste 201
Sherman Oaks, CA 91403-3807

Mailing address

9190 W Olympic Blvd # 228
Beverly Hills, CA 90212-3540

National Provider Directory

National Provider Directory

Locations

4521 Sherman Oaks Ave
Ste 201
Sherman Oaks, CA 91403
Phone (818) 668-5008

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1699294306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 W OLYMPIC BLVD # 228",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 SHERMAN OAKS AVE STE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033807",
            "telephone_number": "310-867-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKZAD NAFISI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "NAFISI",
        "authorized_official_first_name": "NIKZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-634-2491",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.