Khorsandi Dental Practice, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KHORSANDI DENTAL PRACTICE, PLLC

Practice address

1556 20TH St
Santa Monica, CA 90404-3465

Phone

(717) 849-4381

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

John Rollings

Title

Chief Administrative Officer

Phone

(717) 849-4381

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1700508397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 20TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 20TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043465",
            "telephone_number": "717-849-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHORSANDI DENTAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "ROLLINGS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "717-849-4381"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tram Nguyen Khatibi
• Sahar Khazani
• Robert Khorramian, D.P.M.
• Reza Khorsan, M.D.
• Khorsandi Dental Practice, PC
• Amin Khorsandi, M.D.
• Homayoon B Khorsandi, PHARM.D.
• Parisa Arman Khorsandi, M.D.
• Lamees Khorshid, PSYD, BCB
• Katayoun Khoshbin, MD

• Dentist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.