Bamshad Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BAMSHAD DENTAL CORPORATION

Doing business as

Bamshad Dental Corporation

Practice address

19231 Victory Blvd Ste 458
Reseda, CA 91335-6368

Phone

(818) 345-6477

Fax

(818) 345-1509

NPI assigned

Mar 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Keyvan Bamshad, DDSNPI 1447271218

Title

Owner/ Dentist

Phone

(818) 345-6477

Specialties & licenses 1

Addresses

Other names 1

• Bamshad Dental Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bamshad Dental Corporation

  • Dentist
  • Thousand Oaks, CA
  • NPI 1285111070

  9133461635

  Same PAC ID

Tax ID family

Bamshad Dental Corporation2 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.

• Bamshad Dental Corporation

  • Dentist
  • Thousand Oaks, CA
  • NPI 1285111070
  NPD tax ID

Locations

Practitioners 1

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

• Keyvan Bamshad, D.D.S.

  • Dentist
  • Reseda, CA
  • NPI 1447271218
  NPD Authorized official

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1932667631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 458",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356368",
            "telephone_number": "818-345-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 458",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356368",
            "telephone_number": "818-345-6477",
            "fax_number": "818-345-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMSHAD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "BAMSHAD",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "818-345-6477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bamshad Dental Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baird Group Home
• Shelley T Baker, PHARM.D.
• Terri Marie Balady
• Milena Balazy, PHARMD
• Armine Balumyan, FNP
• Keyvan Bamshad, D.D.S.
• Jeremy Jesus Alberto Barahona, PHARMD
• Patricia Barajas
• Svetlana Baranovsky, M.D.
• Vadim Baranovsky

• Dentist in Reseda, CA
• Providers in Reseda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.