KELISHADI SAMANI DENTAL CORP
NPI 1508069576
Dentist in Carson, CA

Q: What is Kelishadi Samani Dental Corp's NPI number?

The NPI number for Kelishadi Samani Dental Corp is 1508069576. It was assigned to this organization in the NPPES registry on June 7, 2007.

Q: What is Kelishadi Samani Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since June 07, 2007

23541 AVALON BLVD, CARSON, CA 90745(310) 830-3500(310) 830-7994 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelishadi Samani Dental Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELISHADI SAMANI DENTAL CORP (NPI 1508069576) is a healthcare organization registered as a dentist in Carson, California and active in the NPI registry since June 2007. The organization lists Marjan Kelishadi, Dentist, as its authorized official.

NPPES Registry Identity

NPI1508069576

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameKELISHADI SAMANI DENTAL CORP

Location Address23541 AVALON BLVDCarson, CA 90745

Mailing Address23541 Avalon BlvdCarson, CA 90745 · (310) 830-3500 · Fax (310) 830-7994

Phone(310) 830-3500

Fax(310) 830-7994

Organization SubpartNo

Authorized OfficialMarjan KelishadiDentist · (310) 830-3500

Enumeration DateJune 7, 2007

Last NPPES UpdateJuly 3, 2008

✔ NPI 1508069576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 41930

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

23541 AVALON BLVD, Carson, CA 90745

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Other Identifiers 4

Other612331200CA · Affiliated Computer Servi

OtherG9805001CA · Healthy Families

Other809101CA · United Concordia

MedicaidG9300701CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARJAN KELISHADI-SAMANI DDS

Dentist

23541 AVALON BLVD
CARSON, CA 90745

Los Angeles County (310) 830-3500

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 Kelishadi Samani Dental Corp's NPI number?

The NPI number for Kelishadi Samani Dental Corp is 1508069576. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is Kelishadi Samani Dental Corp located?

Kelishadi Samani Dental Corp is located at 23541 Avalon Blvd, Carson, CA 90745. The listed phone number is (310) 830-3500.

What is Kelishadi Samani Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kelishadi Samani Dental Corp accept?

Health plans from UnitedHealthcare list Kelishadi Samani Dental Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelishadi Samani Dental Corp was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.