Organization Active NPI

Farshad Moftakhar DDS a Dental Corporation

  • Dentist
  • Beverly Hills, CA
National Provider Identifier
1982745733
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38565 Issued in CA
Legal business name
FARSHAD MOFTAKHAR DDS A DENTAL CORPORATION
Practice address
9025 Wilshire Blvd
Ste 315
Beverly Hills, CA 90211-1831
Phone
(310) 274-7485
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Dr. Farshad Moftakhar, D.D.S
Title
Owner
Phone
(310) 274-7485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 38565 CA Primary

Addresses

Primary practice location

9025 Wilshire Blvd
Ste 315
Beverly Hills, CA 90211-1831

Mailing address

9025 Wilshire Blvd
Ste 315
Beverly Hills, CA 90211-1831
Phone (310) 274-7485

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1982745733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "STE 315",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111831",
            "telephone_number": "310-274-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "STE 315",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111831",
            "telephone_number": "310-274-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARSHAD MOFTAKHAR DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "MOFTAKHAR",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-274-7485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.