NADIA E. TAHERI DENTAL CORPORATION (NPI# 1861907966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861907966 |
| Entity Type | Organization |
| Organization Name | NADIA E. TAHERI DENTAL CORPORATION |
| Other Organization Name | NADIA E. TAHERI DENTAL CORPORATION |
| Practice Address |
12903 Victory Blvd North Hollywood CA 91606-2923 |
| Practice Telephone | 7859798800 |
| Mailing Telephone | 7859798800 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | NADIA E. TAHERI (DENTIIST) |
| Authorized Official Telephone | 7859798800 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
10045 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FE6555582 | 01 | |
| CA | CALIFORNIA DENTAL BOARD | 10045 | 01 |
| Other Name | Type Code |
|---|---|
| Nadia E. Taheri Dental Corporation | Doing Business As Name - Organization |
| Street Address |
12903 VICTORY BLVD |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598881872 | Mojgan Tamaddon | Dentist | 12903 Victory Blvd, North Hollywood, CA 91606-2923 | 2007-03-21 |
| 1275089567 | Nadia E Taheri | Dentist | 12903 Victory Blvd, North Hollywood, CA 91606-2923 | 2016-08-28 |
| 1023299815 | Mojgan Tamaddon Dds Inc | Dentist | 12903 Victory Blvd, North Hollywood, CA 91606-2923 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285032102 | Marina Alvarez Batlle Dds Inc | Clinic/Center | 6063 Vineland Ave Ste A, North Hollywood, CA 91606-4917 | 2014-12-09 |
| 1891945317 | Rubtsov D.d.s., Inc. | Clinic/Center | 12450 Burbank Blvd, North Hollywood, CA 91607-1637 | 2008-09-19 |
| 1467910174 | Michelle Duong, Dds A Professional Dental Corporation | Clinic/Center | 11404 Victory Blvd, North Hollywood, CA 91606-3616 | 2019-03-12 |
| 1306340047 | Haig Mastikian Dmd Inc | Clinic/Center | 10835 Oxnard St, North Hollywood, CA 91606-5020 | 2018-03-19 |
| 1689023467 | Asmik Madoulian Dds Inc | Clinic/Center | 10903 Magnolia Blvd, North Hollywood, CA 91601-3904 | 2016-06-13 |
| 1649674581 | Jacqueline Lopez Dds Inc | Clinic/Center | 12120 Saticoy St, Ste. C, North Hollywood, CA 91605-3055 | 2014-10-21 |
| 1518309707 | Maria Lucia Cruz, D.d.s., Inc. | Clinic/Center | 11509 Burbank Blvd, North Hollywood, CA 91601-2309 | 2013-07-29 |
| 1336445550 | Penn Soh, Dds, Corp | Clinic/Center | 5300 Lankershim Blvd Ste 105, North Hollywood, CA 91601-3163 | 2011-02-04 |
| 1629235239 | Angelica Y Ang, Dds Inc | Clinic/Center | 12660 Riverside Dr, Suite 330, North Hollywood, CA 91607-3429 | 2008-05-21 |
| 1164617783 | Sevak Elyaspoor Dds Professional Corp. | Clinic/Center | 12125 Vanowen St Ste 2, North Hollywood, CA 91605-5665 | 2007-09-06 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
Please comment or provide details below to improve the information on NADIA E. TAHERI DENTAL CORPORATION.
| 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.