Mostafa Tehrani Rad, DMD MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

36620 Issued in CA

Practice address

22949 Ventura Blvd #C
Woodland Hills, CA 91364

Phone

(818) 225-8800

Fax

(818) 225-8826

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Nikaeen Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodland Hills, CA
  • NPI 1114594538

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902026388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22949 VENTURA BLVD",
            "address_2": "SUITE #C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-225-8800",
            "fax_number": "818-225-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22949 VENTURA BLVD #C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-225-8800",
            "fax_number": "818-225-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANI RAD",
        "first_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "36620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaqueta Taylor
• Madeline Shari Taylor, PHD LMFT 18903
• Harout Tchouldjian
• Shelby Teague-Bickmore
• Teen Therapy Center, a Marriage and Family Counseling Professional Cor
• Brenda Teiko
• Joel Tellez Victoriano
• Zoria Temple
• Shantaya Templeton
• Tender Wound Care, LLC

• Pediatric Dentistry in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.