Elmira Khodapanah DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43989 Issued in CA

Legal business name

ELMIRA KHODAPANAH DDS INC

Practice address

2333 Camino del Rio S Ste 140
San Diego, CA 92108-3607

Phone

(619) 574-1810

Fax

(619) 574-1326

NPI assigned

Jul 30, 2010

Last updated

Jul 30, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elmira KhodapanahNPI 1750595195

Title

President

Phone

(858) 245-2426

Specialties & licenses 1

Addresses

Tax ID family

Elmira Khodapanah DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mission Valley Dental Arts

  • Dentist
  • San Diego, CA
  • NPI 1174916456
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elmira Khodapanah, D.D.S

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1750595195
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1003120148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12079 WORLD TRADE DR UNIT 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284393",
            "telephone_number": "858-485-8855",
            "fax_number": "858-487-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO S STE 140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083607",
            "telephone_number": "619-574-1810",
            "fax_number": "619-574-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMIRA KHODAPANAH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "KHODAPANAH",
        "authorized_official_first_name": "ELMIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-245-2426",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdirashid Elmi
• Azadeh Elmi, M.D.
• Kowser M. Elmi
• Payaam Elmi, RN
• Sagal Elmi, PSY.D.
• Alyssa Rena Elmore, PHARMD
• Dudley G Elmore III, RN,FNP
• Kyle Patrick Elmore, DDS
• Elias Elmouttaqi
• Khaled Elnaggar

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.