Active NPI
Hedi Kermani, DDS, MDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Norwalk, CA
National Provider Identifier
1871649152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 43565
- Practice address
- 14119 Pioneer Blvd
Norwalk, CA 90650-3925 - Phone
- (562) 929-2383
- Fax
- (323) 249-7565
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 43565 | CA | Primary |
Addresses
Primary practice location
14119 Pioneer Blvd
Norwalk, CA 90650-3925
Mailing address
2549 Eastbluff Dr Ste B
#415
Newport Beach, CA 92660-3500
Phone (949) 640-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D43565 | Medicaid | CA |
Other names 1
- Dr. Hedieh Tavajohi-Kermani
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental Service, Inc | Past | Accepting new patients | |
| Scott Jacks DDS Inc | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Children's Dental Group
- Dentist
- Norwalk, CA
- NPI 1790824662
Orthodontics and Dentofacial Orthopedics
-
- Dentist
- Norwalk, CA
- NPI 1417473984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1871649152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2549 EASTBLUFF DR STE B",
"address_2": "#415",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926603500",
"telephone_number": "949-640-5050",
"fax_number": "949-640-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14119 PIONEER BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503925",
"telephone_number": "562-929-2383",
"fax_number": "323-249-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERMANI",
"first_name": "HEDI",
"name_prefix": "Dr.",
"credential": "DDS, MDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "43565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D43565",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEDIEH",
"last_name": "TAVAJOHI-KERMANI",
"prefix": "DR.",
"credential": "DDS, MDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.