SEVAK ELYASPOOR DDS PROFESSIONAL CORP.
NPI 1164617783
Clinic/Center - Dental in North Hollywood, CA
About Sevak Elyaspoor Dds Professional Corp. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEVAK ELYASPOOR DDS PROFESSIONAL CORP. (NPI 1164617783) is a healthcare organization registered as a dental in North Hollywood, California and active in the NPI registry since September 2007. The organization lists Sevak Elyaspoor, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sevak Elyaspoor Dds Professional Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sevak Elyaspoor DDS Professional Corp., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sevak Elyaspoor Dds Professional Corp.'s NPI number?
The NPI number for Sevak Elyaspoor Dds Professional Corp. is 1164617783. It was assigned to this organization in the NPPES registry on September 6, 2007.
Where is Sevak Elyaspoor Dds Professional Corp. located?
Sevak Elyaspoor Dds Professional Corp. is located at 12125 Vanowen St Ste 2, North Hollywood, CA 91605. The listed phone number is (818) 764-4679.
What is Sevak Elyaspoor Dds Professional Corp.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Sevak Elyaspoor Dds Professional Corp. enrolled in Medicare?
Yes. Sevak Elyaspoor Dds Professional Corp. is registered in the Medicare PECOS enrollment system.
When is Sevak Elyaspoor Dds Professional Corp.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Sevak Elyaspoor Dds Professional Corp.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Sevak Elyaspoor Dds Professional Corp.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sevak Elyaspoor Dds Professional Corp. was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sevak Elyaspoor Dds Professional Corp. · NPI 1164617783
Dental organization in North Hollywood, California. Organization record, active in the CMS NPPES registry since September 6, 2007.
## Identity
- **NPI:** 1164617783 (Entity type: Organization)
- **Enumerated:** September 6, 2007
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Sevak Elyaspoor, PRESIDENT
## Practice location
- **Address:** 12125 VANOWEN ST STE 2, North Hollywood, CA 91605-5665
- **Phone:** (818) 764-4679 · **Fax:** (818) 764-6382
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1164617783) · Data from the CMS NPPES public registry.