Alexi Eyvazi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53989 Issued in CA

Practice address

4350 Woodman Ave
Sherman Oaks, CA 91423-3031

Phone

(818) 981-4508

Fax

(818) 981-4564

NPI assigned

Apr 26, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1972723849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 WOODMAN AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233031",
            "telephone_number": "818-981-4508",
            "fax_number": "818-981-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 WOODMAN AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233031",
            "telephone_number": "818-981-4508",
            "fax_number": "818-981-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYVAZI",
        "first_name": "ALEXI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excellent Healthcare Services Group
• Expedicare Relief Hospice Inc
• Express Dental
• Express Diagnostics, Inc
• Express Services Healthcare, Inc.
• Rita Ezadjian
• Daniela Fabian
• Hannah Fagerbakke
• Sophie Judith Fahnenstitch
• Ashley Fahy

• 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 13, 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.