Tajik Naminik & Koshki DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63665 Issued in CA

Legal business name

TAJIK NAMINIK & KOSHKI DDS INC

Practice address

10545 Victory Blvd
North Hollywood, CA 91606-3916

Phone

(818) 763-9353

Fax

(818) 763-6227

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kasra Tajik, DDSNPI 1386053171

Title

Dentist

Phone

(818) 763-9395

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MODERN SMILES Former legal business name

Locations

Practitioners 2

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

• Kasra Tajik, D.D.S

  • General Practice Dentistry
  • North Hollywood, CA
  • NPI 1386053171
  NPD (past) Authorized official
• Michael David Kosdon, DDS

  • Dentist
  • New York, NY
  • NPI 1003911850

  General Practice

  NPD (past)

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1710332838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063916",
            "telephone_number": "818-763-9353",
            "fax_number": "818-763-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10545 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063916",
            "telephone_number": "818-763-9353",
            "fax_number": "818-763-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAJIK NAMINIK & KOSHKI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "TAJIK",
        "authorized_official_first_name": "KASRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-763-9395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "63665",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "61426",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "44505",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODERN SMILES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Velvet Tabb, LCSW
• Farzaneh Tabibian, RN
• Carolina Tadevosyan, FNP
• Gevorg Tadevosyan
• Nadia E Taheri, DMD
• Kasra Tajik, D.D.S
• Mojgan Tamaddon, D.D.S.
• Aliza Gail Tan
• Joshua Zachary Tan
• Pauline Tan, MPH

• General Practice Dentistry in North Hollywood, CA
• Providers in North Hollywood, 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 Apr 26, 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.