Mohammad Vafadar DDS.Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47201 Issued in CA

Legal business name

MOHAMMAD VAFADAR DDS.INC

Practice address

15030 Ventura Blvd Ste 9
Sherman Oaks, CA 91403-2444

Phone

(818) 907-5900

Fax

(818) 907-5903

NPI assigned

Nov 5, 2008

Last updated

Nov 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Vafadar, DDS

Title

President

Phone

(818) 907-5900

Specialties & licenses 1

Addresses

Tax ID family

Diamond Care Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Diamond Care Dental

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1821398033
  NPD tax ID

Locations

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1932353885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 VENTURA BLVD STE 9",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032444",
            "telephone_number": "818-907-5900",
            "fax_number": "818-907-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 VENTURA BLVD STE 9",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032444",
            "telephone_number": "818-907-5900",
            "fax_number": "818-907-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD VAFADAR DDS.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "VAFADAR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-907-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Nov 5, 2008; 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.