POULDAR KIMIA AND LORENZ DENTAL PARTNERSHIP
NPI 1639624463
Dentist - General Practice in Sherman Oaks, CA

Active since August 22, 2016
14912 BURBANK BLVD, SHERMAN OAKS, CA 91411(480) 619-1415 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2023, Aug 23, 2022, Nov 14, 2016 and 1 more (4 updates tracked since 2016).

About Pouldar Kimia And Lorenz Dental Partnership NPPES

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

POULDAR KIMIA AND LORENZ DENTAL PARTNERSHIP (NPI 1639624463) is a healthcare organization registered as a general practice in Sherman Oaks, California and active in the NPI registry since August 2016. The organization lists Dara Kimia, President, as its authorized official.

NPPES Registry Identity

NPI1639624463
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePOULDAR KIMIA AND LORENZ DENTAL PARTNERSHIP
Location Address14912 BURBANK BLVDSherman Oaks, CA 91411-3609
Mailing Address14912 Burbank BlvdSherman Oaks, CA 91411-3609
Organization SubpartNo
Authorized OfficialDara KimiaPresident · (480) 619-1415
Enumeration DateAugust 22, 2016
Last NPPES UpdateNovember 2, 20234 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1639624463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 61127
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 61270 (CA)
14912 BURBANK BLVD, Sherman Oaks, CA 91411

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pouldar Kimia And Lorenz Dental Partnership is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pouldar Kimia And Lorenz Dental Partnership, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1861839243
4636 LEE AVE
La Mesa, CA 91942
(619) 804-8339
✔ PECOS127 mi

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 Pouldar Kimia And Lorenz Dental Partnership's NPI number?

The NPI number for Pouldar Kimia And Lorenz Dental Partnership is 1639624463. It was assigned to this organization in the NPPES registry on August 22, 2016.

Where is Pouldar Kimia And Lorenz Dental Partnership located?

Pouldar Kimia And Lorenz Dental Partnership is located at 14912 Burbank Blvd, Sherman Oaks, CA 91411. The listed phone number is (480) 619-1415.

What is Pouldar Kimia And Lorenz Dental Partnership's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Pouldar Kimia And Lorenz Dental Partnership enrolled in Medicare?

Yes. Pouldar Kimia And Lorenz Dental Partnership is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pouldar Kimia And Lorenz Dental Partnership?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Pouldar Kimia And Lorenz Dental Partnership. 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 Pouldar Kimia And Lorenz Dental Partnership was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.