Juliet Ebrahimian DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JULIET EBRAHIMIAN DDS INC

Practice address

700 Fair Oaks Ave Ste B
South Pasadena, CA 91030-2675

Phone

(626) 421-7171

NPI assigned

Feb 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Juliet Ebrahimian, DDSNPI 1740749142

Title

Dentist

Phone

(818) 307-0416

Specialties & licenses 2

Addresses

Other names 1

• Silverlake Smiles Doing business as

Electronic endpoints 2

Locations

Practitioners 1

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

• Juliet Ebrahimian

  • Dentist
  • Glendale, CA
  • NPI 1740749142
  NPD Authorized official

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

{
    "created_epoch": "1645315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1851046643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 E GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062933",
            "telephone_number": "818-307-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FAIR OAKS AVE STE B",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302675",
            "telephone_number": "626-421-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2556 Glendale Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900393220",
            "country_code": "US",
            "telephone_number": "818-307-0416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JULIET EBRAHIMIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-20",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMIAN",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-307-0416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "2556 Glendale Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900393220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "juliet.ebrahimian@gmail.com",
            "affiliation": "N",
            "address_1": "2556 Glendale Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900393220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Silverlake Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silverlake Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.