Keyvan Bamshad D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46553 Issued in CA

Legal business name

KEYVAN BAMSHAD D.D.S., INC.

Practice address

19231 Victory Blvd Ste 458
Reseda, CA 91335-6368

Phone

(818) 345-6477

Fax

(818) 345-1509

NPI assigned

May 28, 2013

Last updated

May 28, 2013By 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. Keyvan Bamshad, D.D.S.NPI 1447271218

Title

Dentist/Owner

Phone

(818) 345-6477

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keyvan Bamshad, D.D.S.

  • Dentist
  • Reseda, CA
  • NPI 1447271218
  Authorized official Same address or phone

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1972940252",
    "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",
            "fax_number": "818-345-1509"
        },
        {
            "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": "KEYVAN BAMSHAD D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "BAMSHAD",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "818-345-6477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Liliana Kazangian, DDS
• Ann C. Keren-Zvi
• Keswick Home
• Keswick House
• Kevin Thai Le DDS, Inc
• Behnam Keyvan, M.F.T.
• KH Nourishad Inc
• Khadavi Dental Group
• Yelena Kharchenko
• Kristine Khashaki, PHARMD

• General Practice Dentistry in Reseda, CA
• Providers in Reseda, 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 May 28, 2013; 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.