Michael Khorshidi DDS a Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL KHORSHIDI DDS A DENTAL CORPORATION

Doing business as

Khorshidi Dental

Practice address

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

Phone

(424) 285-4043

Fax

(213) 377-2424

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Faraz Michael Khorshidi, DDSNPI 1689054504

Title

Owner/Dentist

Phone

(424) 285-4043

Specialties & licenses 1

Addresses

Other names 1

• Khorshidi Dental Doing business as

Locations

Practitioners 1

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

• Faraz Michael Khorshidi, D.D.S.

  • General Practice Dentistry
  • Beverly Hills, CA
  • NPI 1689054504
  NPD Authorized official

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1699491340",
    "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",
            "fax_number": "213-377-2424"
        },
        {
            "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",
            "fax_number": "213-377-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL KHORSHIDI DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "KHORSHIDI",
        "authorized_official_first_name": "FARAZ",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "424-285-4043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Khorshidi Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.