NPIMap

Organization Active NPI

Afshar and Habashi Dental Corporation

Doing business as Tierrasanta Dental Group

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1033217526
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFSHAR AND HABASHI DENTAL CORPORATION
Doing business as
Tierrasanta Dental Group
Practice address
10405 Tierrasanta Blvd
San Diego, CA 92124-2603
Phone
(858) 492-3900
Fax
(858) 492-9332
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Dr. Katayoun Afshar, DDSNPI 1215049655
Title
Owner DDS
Phone
(858) 492-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10405 Tierrasanta Blvd
San Diego, CA 92124-2603

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • TIERRASANTA DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

10405 Tierrasanta Blvd
San Diego, CA 92124
Phone (858) 492-3900

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1033217526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 TIERRASANTA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242603",
            "telephone_number": "858-492-3900",
            "fax_number": "858-492-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFSHAR AND HABASHI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "AFSHAR",
        "authorized_official_first_name": "KATAYOUN",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "858-492-9300",
        "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": "TIERRASANTA DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.