Homa Shahriari DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

44258 Issued in CA

Legal business name

HOMA SHAHRIARI DDS INC

Practice address

8632 Balboa Blvd
Northridge, CA 91325-3505

Phone

(818) 894-6161

Fax

(818) 894-6001

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Homa Shahriari, D.D.S.

Title

Owner

Phone

(818) 894-6161

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1841485059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8632 BALBOA BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253505",
            "telephone_number": "818-894-6161",
            "fax_number": "818-894-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8632 BALBOA BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253505",
            "telephone_number": "818-894-6161",
            "fax_number": "818-894-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMA SHAHRIARI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "SHAHRIARI",
        "authorized_official_first_name": "HOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-894-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "44258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Northridge, CA
• Providers in Northridge, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.