Omid Vatan Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OMID VATAN DENTAL CORP

Doing business as

Vatan Dental Group

Practice address

8540 S Sepulveda Blvd
108
Los Angeles, CA 90045-3807

Phone

(310) 676-2922

Fax

(424) 204-0662

NPI assigned

Nov 17, 2014

Last updated

Nov 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Omid Vatan, DDSNPI 1740278662

Title

President

Phone

(310) 991-7921

Specialties & licenses 1

Addresses

Other names 1

• Vatan Dental Group Doing business as

Locations

Practitioners 1

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.

• Omid Vatan, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1740278662
  NPD (past) Authorized official

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1750787800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-676-2922",
            "fax_number": "424-204-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-676-2922",
            "fax_number": "424-204-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMID VATAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "VATAN",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-991-7921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vatan Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nnennaya O Omerigbo, DO
• Mary Korto Omeze
• Omaka Leemu Omeze, RN, NP, PMHNP
• Omid Adhc Corporation (Sinai Adult Day Health Care)
• Omid Okhowat Chiropractic Inc
• Nima Omid-Fard
• Reza Omid, MD
• Samaneh Omidghaemi, O.D.
• Sepideh Omidghaemi, OD
• Shimon Ommatyar, PA-C

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Nov 17, 2014; 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.