NPIMap

Organization Active NPI

Nourian Dental Group, Inc.

  • Dentist
  • Panorama City, CA
National Provider Identifier
1699892893
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38742 Issued in CA
Legal business name
NOURIAN DENTAL GROUP, INC.
Practice address
8424 Van Nuys Blvd
Panorama City, CA 91402
Phone
(818) 893-4222
Fax
(818) 893-1083
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Shahram R Nourian, DDS
Title
Partner
Phone
(310) 766-4647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 38742 CA Primary

Addresses

Primary practice location

8424 Van Nuys Blvd
Panorama City, CA 91402

Mailing address

8424 Van Nuys Blvd
Panorama City, CA 91402
Phone (818) 893-4222

Other identifiers 1

IdentifierTypeStateIssuer
G9133801OtherCADENTICAL

Other names 1

  • Current Business Name Other name

National Provider Directory

National Provider Directory

Locations

8424 Van Nuys Blvd
Van Nuys, CA 91402
Phone (818) 893-4222

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1699892893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-893-4222",
            "fax_number": "818-893-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-893-4222",
            "fax_number": "818-893-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURIAN DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "NOURIAN",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-766-4647",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9133801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Current Business Name",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Current Business Name",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.