Iraj Borna D.D.S Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B36890 Issued in CA

Legal business name

IRAJ BORNA D.D.S INC

Practice address

6915 Reseda Blvd Unit 5
Reseda, CA 91335-4249

Phone

(818) 708-7311

NPI assigned

Jul 3, 2007

Last updated

Aug 8, 2019By 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

Iraj Borna, DDSNPI 1962556506

Title

President

Phone

(818) 708-7311

Specialties & licenses 1

Addresses

Locations

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.

• Iraj Borna, DDS INC

  • Dentist
  • Reseda, CA
  • NPI 1962556506
  NPD (past) Authorized official

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1023216744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 RESEDA BL #5",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-708-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 RESEDA BLVD UNIT 5",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354249",
            "telephone_number": "818-708-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRAJ BORNA D.D.S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "BORNA",
        "authorized_official_first_name": "IRAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-708-7311",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B36890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Reseda, CA
• Providers in Reseda, 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 Aug 8, 2019; 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.