Jonathan Shouhed, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

65364 Issued in CA

Practice address

442 N la Cienega Blvd Ste 211
West Hollywood, CA 90048-1932

Phone

(310) 666-6011

NPI assigned

Aug 29, 2013

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1962836650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 N LA CIENEGA BLVD STE 211",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481932",
            "telephone_number": "310-666-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 N LA CIENEGA BLVD STE 211",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481932",
            "telephone_number": "310-666-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUHED",
        "first_name": "JONATHAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "65364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arvind Manohar Shinde, M.D., M.B.A., M.P.H.
• Saman Shirazi-Nejad, DC
• Vivian Negar Shirvani, M.D., M.P.H.
• Jun Shoji, M.D.
• Daniel Shouhed, M.DM
• Ilya Shtykan, LMFT
• Valery P Shulman, M.D.
• Tara Mae Shultz
• Arnold Shvarts, M.D.
• Jessica Siak, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.