Dr. Khakshooy & Dr. Vahedi Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54735 Issued in CA

Legal business name

DR. KHAKSHOOY & DR. VAHEDI DENTAL, INC.

Practice address

2621 East First Street
Los Angeles, CA 90033

Phone

(323) 268-9386

Fax

(323) 268-9386

NPI assigned

May 21, 2015

Organization subpart

Yes

Parent organization

VAHEDI & KHAKSHOOY DENTAL INC.As reported in NPPES

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

Authorized official

Name

Dr. Siamak Khakshooy, DDS

Title

President

Phone

(310) 925-9991

Specialties & licenses 2

Addresses

Other names 1

• Salud Dental Group Doing business as

Part of

Vahedi and Khakshooy Dental Incorporation

Practitioners 2

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

• Winnie Tan, D.D.S.

  • Dentist
  • Los Angeles, CA
  • NPI 1730229832
  NPD (past)
• Mikio M Tochioka, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1487849501
  NPD (past)

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1790164960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 EAST FIRST STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-268-9386",
            "fax_number": "323-268-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 EAST FIRST STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-268-9386",
            "fax_number": "323-268-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KHAKSHOOY & DR. VAHEDI DENTAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAHEDI & KHAKSHOOY DENTAL INC.",
        "enumeration_date": "2015-05-21",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "KHAKSHOOY",
        "authorized_official_first_name": "SIAMAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-925-9991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54735",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salud Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 29, 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.