Soheil Khodadadi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26298 Issued in TX

Practice address

8641 Wilshire Blvd
Suite 125
Beverly Hills, CA 90211

Phone

(310) 271-3003

Fax

(310) 271-6299

NPI assigned

Dec 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Omni Endodontics, PLLC

  • Endodontics
  • El Paso, TX
  • NPI 1366080905
  NPD Authorized official
• Alba Dental Care, PLLC

  • Dentist
  • El Paso, TX
  • NPI 1770243974
  NPD
• Fort Bliss Family Dentistry, PLLC

  • Dentist
  • Fort Bliss, TX
  • NPI 1588310015
  NPD

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1710042478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD",
            "address_2": "SUITE 125",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-271-3003",
            "fax_number": "310-271-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD",
            "address_2": "SUITE 125",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-271-3003",
            "fax_number": "310-271-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODADADI",
        "first_name": "SOHEIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-23",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "4994T",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39024",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payam Kharazi, PSY.D.
• Ehsan Khayambashi, DPT
• Mona Khedmatian, PHARM D
• Afshin James Khodabakhsh, MD
• Khodadadi Dental Corporation
• Naz Khodayari, D.D.S.
• Jahandar Khoei
• Faraz Michael Khorshidi, D.D.S.
• Mohammad Ryan Khosravi, M.D.
• Anjel Khoubian, L.AC.

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.