Behnaz Khodadad, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54158 Issued in CA

Legal business name

BEHNAZ KHODADAD, DDS, INC

Doing business as

BK Family Dentistry

Practice address

24318 Hemlock Ave Ste G2
Moreno Valley, CA 92557-7226

Phone

(951) 243-5607

Fax

(951) 243-2979

NPI assigned

Jan 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Behnaz Khodadad, DDS

Title

Dentist

Phone

(951) 243-5607

Specialties & licenses 1

Addresses

Other names 1

• BK Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1720226137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24318 HEMLOCK AVE STE G2",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577226",
            "telephone_number": "951-243-5607",
            "fax_number": "951-243-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24318 HEMLOCK AVE STE G2",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577226",
            "telephone_number": "951-243-5607",
            "fax_number": "951-243-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHNAZ KHODADAD, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "KHODADAD",
        "authorized_official_first_name": "BEHNAZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-243-5607",
        "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": "54158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BK Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerlaine Cassandra Beckwith, BA
• Taline Bedelian
• Araceli Bedolla
• David Bedrous, PA-C
• Brandie Beechum
• Anel Judith Bejarano
• Val Beleniuc
• Carina Bell, MD
• Darlene Louise Bell, LMFT
• Naomi Lorraine Bell, LMFT

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, 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 Jan 23, 2009; 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.