NPIMap

Organization Active NPI

Hiri Etessami DDS, Inc.

  • Endodontics
  • Los Angeles, CA
National Provider Identifier
1861591521
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DC35209 Issued in CA
Legal business name
HIRI ETESSAMI DDS, INC.
Practice address
9201 Sunset Blvd
Suite 908
Los Angeles, CA 90069
Phone
(310) 550-0506
Fax
(310) 550-0613
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Hirbod Etessami, DDS
Title
Owner Partner
Phone
(310) 550-0506

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 37329 CA
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X DC35209 CA Primary

Addresses

Primary practice location

9201 Sunset Blvd
Suite 908
Los Angeles, CA 90069

Mailing address

9201 Sunset Blvd
Suite 908
Los Angeles, CA 90069
Phone (310) 550-0506

National Provider Directory

National Provider Directory

Locations

9201 W Sunset Blvd
Ste 908
Los Angeles, CA 90069
Phone (310) 550-0506

Practitioners & affiliated clinicians

Practitioners 2

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1861591521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 SUNSET BLVD",
            "address_2": "SUITE 908",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "310-550-0506",
            "fax_number": "310-550-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 SUNSET BLVD",
            "address_2": "SUITE 908",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "310-550-0506",
            "fax_number": "310-550-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIRI ETESSAMI DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "ETESSAMI",
        "authorized_official_first_name": "HIRBOD",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "310-550-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "37329",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DC35209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 20, 2013; 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.