Nadia E. Taheri Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10045 Issued in CA

Legal business name

NADIA E. TAHERI DENTAL CORPORATION

Doing business as

Hollywood Smile

Practice address

12903 Victory Blvd
North Hollywood, CA 91606-2923

Phone

(785) 979-8800

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Nadia E. Taheri, DDSNPI 1275089567

Title

Dentist

Phone

(818) 999-3805

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hollywood Smile Doing business as

Locations

Practitioners 1

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

• Nadia E Taheri, DMD

  • General Practice Dentistry
  • North Hollywood, CA
  • NPI 1275089567
  NPD (past) Authorized official

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1861907966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12903 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062923",
            "telephone_number": "818-999-3805",
            "fax_number": "818-999-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12903 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062923",
            "telephone_number": "785-979-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIA E. TAHERI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "TAHERI",
        "authorized_official_first_name": "NADIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-999-3805",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "10045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL BOARD",
            "identifier": "10045",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naars Hospice, Inc.
• Benjamin Mark V Nabong
• Tamara Nadel-Meister
• Marlene Nadel, CA-CCS, CADC-II
• Justine Nader, AMFT
• Evelina Nadzhafov, P.A.
• Leafi Naea
• Barnard G. Nagai, DDS
• Yoav Nagar, DC
• Mizuki Nagayama

• Dental Clinic/Center in North Hollywood, CA
• Providers in North Hollywood, 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 Mar 7, 2023; 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.