Parisa Dental Group Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PARISA DENTAL GROUP INC

Practice address

8599 Haven Ave Ste 105
Rancho Cucamonga, CA 91730-4849

Phone

(909) 945-2342

Fax

(909) 948-5474

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Parisa Gheidarpour, DDSNPI 1073927935

Title

Dentist

Phone

(909) 254-7032

Specialties & licenses 1

Addresses

Other names 1

• Paris Dental & Aesthetics Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parisa Gheidarpour, D.D.S.

  • Dentist
  • Rancho Cucamonga, CA
  • NPI 1073927935
  NPD Authorized official
• Hugh Derward Burke Jr., DDS

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1891837258
  NPD (past)

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1013615699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8599 HAVEN AVE STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304849",
            "telephone_number": "909-945-2342",
            "fax_number": "909-948-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8599 HAVEN AVE STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304849",
            "telephone_number": "909-945-2342",
            "fax_number": "909-948-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARISA DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "GHEIDARPOUR",
        "authorized_official_first_name": "PARISA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-254-7032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paris Dental & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarai Pantoja
• Paradise Springs for the Elderly
• Maribel Paredes, MSW
• Chantel Paret
• Julieta Valencia Parinas
• Alice Jinyoung Park
• Byeong Hyeon Park, DPT
• Han Jin Park
• Sunyoung Park, LAC.
• Suzy Park, PHARM. D

• General Practice Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Feb 22, 2023; 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.