Organization Active NPI

Sahar Verdi DDS Dental Corp

  • Periodontics
  • Los Angeles, CA
National Provider Identifier
1982005542
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
51775 Issued in CA
Legal business name
SAHAR VERDI DDS DENTAL CORP
Practice address
11500 W Olympic Blvd Ste 335
Los Angeles, CA 90064-1527
Phone
(310) 477-1691
NPI assigned
Sep 12, 2014
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Sahar Verdi, DDSNPI 1154576619
Title
President
Phone
(310) 477-1691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 51775 CA Primary

Addresses

Primary practice location

11500 W Olympic Blvd Ste 335
Los Angeles, CA 90064-1527

Mailing address

11500 W Olympic Blvd Ste 335
Los Angeles, CA 90064-1527
Phone (310) 477-1691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140930001739 CA Part B Supplier - Clinic/Group Practice 1759501505 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

120 S Spalding Dr
Ste 201
Beverly Hills, CA 90212
Phone (310) 274-0809

11500 W Olympic Blvd
Ste 335
Los Angeles, CA 90064
Phone (310) 477-1691

808 E Thousand Oaks Blvd
Thousand Oaks, CA 91360
Phone (805) 230-1112

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1982005542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 335",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641527",
            "telephone_number": "310-477-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 335",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641527",
            "telephone_number": "310-477-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHAR VERDI DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "VERDI",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-477-1691",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "51775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.