Homan Homapour, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62554 Issued in CA

Practice address

141 E Willow Street #P
Long Beach, CA 90806

Phone

(562) 988-2888

NPI assigned

May 31, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mehran Javaherian DDS. Inc.

  • Dentist
  • Long Beach, CA
  • NPI 1528131463
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1770844268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E WILLOW STREET #P",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908063507",
            "telephone_number": "562-988-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E WILLOW STREET #P",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-988-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAPOUR",
        "first_name": "HOMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020667",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Erool Holt I
• Mary Holtom, PSYCHOLOGIST
• Kathryn Bobka Holtz, RD
• Lun W Hom, M.D.
• Jessica Lauren Homaizad
• Home Care Network, Inc.
• Home Care Specialists, Inc.
• Sheila Joy Homer, DC
• Ugochi Ijeoma Hommey, FNP
• Alice Jennifer Hon, MD

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, 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 May 10, 2017; 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.