KHODADADI, ALIREZAEI AND KEIHANI DENTAL CORP (NPI# 1811359615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811359615 |
| Entity Type | Organization |
| Organization Name | KHODADADI, ALIREZAEI AND KEIHANI DENTAL CORP |
| Other Organization Name | OXNARD DENTISTRY |
| Practice Address |
1730 E Gonzales Rd Oxnard CA 93036-3701 |
| Practice Telephone | 8056049999 |
| Practice Fax Number | 8053644677 |
| Mailing Telephone | 8056049999 |
| Mailing Fax Number | 8053644677 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | DR. KOUROSH KEIHANI (PRESIDENT/DENTIST) |
| Authorized Official Telephone | 3105622046 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
39024 | CA | Ambulatory Health Care Facilities |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
48872 | CA | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
63776 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oxnard Dentistry | Doing Business As Name - Organization |
| Street Address |
1730 E GONZALES RD |
| City | OXNARD |
| State | CA |
| Zip Code | 93036-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521402 | Azin Barzegar | Dentist | 1730 E Gonzales Rd, Oxnard, CA 93036-3701 | 2020-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1760021810 | Tiffany Anne Eyestonhe | Counselor | 1911 Wiiliams Drive, Star Program, Oxnard, CA 93036 | 2020-01-06 |
| 1356903579 | Usman Khan | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive Suite 200, Oxnard, CA 93036 | 2019-07-08 |
| 1689236937 | Benjamin Jonathan Ponce | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive, Suite 200, Oxnard, CA 93036 | 2019-07-07 |
| 1194296806 | Ezequiel Armando Sanchez | Counselor | 1911 Williams Drive Star Program, Oxnard, CA 93036 | 2018-12-07 |
| 1710457809 | Shadi Heydari Bateni | Counselor | 2150 N. Victoria Avenue, Oxnard, CA 93036 | 2018-11-30 |
| 1023586443 | Reylene Carmen Sanchez | Counselor | 2755 Yearling Place, Oxnard, CA 93036 | 2018-11-02 |
| 1689157117 | For Eyes Optical Co. of California | Eyewear Supplier (Equipment, not the service) | 2820 Portico Way, Suite 1110, Oxnard, CA 93036 | 2018-09-11 |
| 1518445113 | Heather Christian Byhoffer | Marriage & Family Therapist | 1261 W. Gonzales Rd., Oxnard, CA 93036 | 2018-08-06 |
| 1477045110 | Dr. Jeffrey A. Saladin, Dental Corp | Dentist | 2100 Solar Drive, Suite 200, Oxnard, CA 93036 | 2018-05-30 |
| Find all providers in zip 93036 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386200103 | Fujimora Dental Corporation | Clinic/Center | 421 S Ventura Rd Ste 40, Oxnard, CA 93030-6552 | 2019-05-16 |
| 1841601689 | Pleasant Valley Familydental | Clinic/Center | 4938 S C St, Oxnard, CA 93033-7504 | 2014-05-14 |
| 1760515290 | W. Thomas Veal, Jr., D.d.s., Inc. | Clinic/Center | 951 W 7th St, Oxnard, CA 93030-6756 | 2007-03-13 |
| 1174173488 | John W. Chung D.d.s., Inc. | Clinic/Center | 905 W 7th St, Oxnard, CA 93030-6755 | 2019-09-18 |
| 1568920627 | Luz Neyla Dunlap Dds Inc | Clinic/Center | 1253 Saviers Rd, Oxnard, CA 93033-1739 | 2019-03-07 |
| 1437627460 | Derek K. Carson Dds Inc. | Clinic/Center | 126 W Deodar Ave, Oxnard, CA 93030 | 2018-11-07 |
| 1336512292 | Dilip M Patel Dds Inc | Clinic/Center | 3700 Saviers Rd, Oxnard, CA 93033-6433 | 2015-11-01 |
| 1790154326 | Homa H Zadeh Dds Inc | Clinic/Center | 500 E Esplanade Dr, Suite 620, Oxnard, CA 93036-2110 | 2015-09-24 |
| 1912300567 | Judyleeddsinc | Clinic/Center | 500 W 5th St, Oxnard, CA 93030-7048 | 2014-09-26 |
| 1184870347 | Bernard E. Kim, D.m.d., Inc. | Clinic/Center | 2184 Saviers Rd, Oxnard, CA 93033-3825 | 2008-08-07 |
| Find all providers in OXNARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.