Sherbank Azizi Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHERBANK AZIZI DENTAL CORPORATION

Practice address

6907 La Tijera Blvd Ste a
Los Angeles, CA 90045-1906

Phone

(310) 645-0336

NPI assigned

Aug 14, 2019

Last updated

Aug 14, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

SHERBANK AZIZI DENTAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Joseph Azizi, DDS

Title

Owner

Phone

(818) 782-9500

Specialties & licenses 2

Addresses

Other identifiers 2

Part of

Sherbank Azizi Dental Corporation

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1871149930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14431 VENTURA BLVD STE 629",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232606",
            "telephone_number": "818-782-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 LA TIJERA BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451906",
            "telephone_number": "310-645-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERBANK AZIZI DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHERBANK AZIZI DENTAL CORPORATION",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-782-9500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1841627825",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1992804652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Sheps, D.C.
• Jayson Ivan Sher, D.C.
• Jerry Robert Sher
• Linda Sue Sher, MD
• Theo Sher
• Lana Tahmizyan Sherbrooke
• Danielle Sheremetiev, ACSW
• Sara Sherer, PHD
• John Sherf, D.C.
• Naomi Sherfield

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.