Heydar Shahrokh DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

40014 Issued in CA

Legal business name

HEYDAR SHAHROKH DDS INC

Practice address

4277 W El Segundo Blvd
Hawthorne, CA 90250-4548

Phone

(310) 970-0900

Fax

(310) 970-0223

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Heydar Shahrokh, DDSNPI 1578620407

Title

President

Phone

(310) 963-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heydar Shahrokh, DDS

  • General Practice Dentistry
  • Hawthorne, CA
  • NPI 1578620407
  NPD (past) Authorized official
• Alabbas Hussain, DMD

  • Endodontics
  • Hawthorne, CA
  • NPI 1790200160

  Dentist

  NPD (past)
• Reza Sadeghi, DDS

  • General Practice Dentistry
  • Hawthorne, CA
  • NPI 1699069245
  NPD (past)

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1700240793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4277 W EL SEGUNDO BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504548",
            "telephone_number": "310-970-0900",
            "fax_number": "310-970-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 W EL SEGUNDO BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504548",
            "telephone_number": "310-970-0900",
            "fax_number": "310-970-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYDAR SHAHROKH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "SHAHROKH",
        "authorized_official_first_name": "HEYDAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-963-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4001402",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valentin Hernandez, M.D.
• Christopher Joel Herrera-Borja
• Ashleigh Nicole Scinta Herrera, LCSW
• Jayvie T Herrera, PT
• Lizbeth Herrera
• Juliann Marie Hinton, DDS
• Mai Nhu Ho, D.D.S.
• David Ngoc Hoang, D.O.
• Khang Victor Hoang, D.O.
• Michael Hoang, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.