Organization Active NPI

Zied Dental Group Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1801304845
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63202 Issued in CA
Legal business name
ZIED DENTAL GROUP INC
Doing business as
HD Smile Dental
Practice address
1680 North Vine Street
Suite #200
Los Angeles, CA 90028-8844
Phone
(323) 464-2033
Fax
(323) 464-2893
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
Mrs. Heba Zied, DDSNPI 1548682768
Title
Owner/Dentist
Phone
(323) 464-2033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 63202 CA Primary

Addresses

Primary practice location

1680 North Vine Street
Suite #200
Los Angeles, CA 90028-8844

Mailing address

1680 North Vine Street
Suite #200
Los Angeles, CA 90028-8844
Phone (323) 464-2033

Other names 1

  • HD Smile Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210507000240 CA Part B Supplier - Clinic/Group Practice 9931518735 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1680 Vine St
Ste 200
Los Angeles, CA 90028
Phone (323) 464-2033

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1801304845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 NORTH VINE STREET",
            "address_2": "SUITE #200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288844",
            "telephone_number": "323-464-2033",
            "fax_number": "323-464-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 NORTH VINE STREET",
            "address_2": "SUITE #200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288844",
            "telephone_number": "323-464-2033",
            "fax_number": "323-464-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIED DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "ZIED",
        "authorized_official_first_name": "HEBA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "323-464-2033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HD Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.