Ghaffari Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GHAFFARI DENTAL CORPORATION

Doing business as

Smiles of La Jolla

Practice address

4150 Regents Park Row Ste 320
La Jolla, CA 92037-1417

Phone

(858) 422-0000

NPI assigned

Sep 12, 2025

Organization subpart

No

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

Authorized official

Name

Roudabeh Ghaffari, DMDNPI 1235492521

Title

Owner

Phone

(858) 422-0000

Specialties & licenses 1

Addresses

Other names 1

• Smiles of La Jolla Doing business as

Locations

Practitioners 1

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

• Roudabeh K Ghaffari, DMD

  • Dentist
  • La Jolla, CA
  • NPI 1235492521
  NPD (past) Authorized official

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1043191232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 320",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371417",
            "telephone_number": "858-422-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 320",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371417",
            "telephone_number": "858-422-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAFFARI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "GHAFFARI",
        "authorized_official_first_name": "ROUDABEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-422-0000",
        "authorized_official_credential": "DMD"
    },
    "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": "Smiles of La Jolla",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose George
• Robert George, D.C.
• Michael L. Gerber, M.D.
• Geriann Warnke Physical Therapy, Inc.
• Rebecca Catherine Gerrity, MD
• Roudabeh K Ghaffari, DMD
• Bahman Ghannadian, MD, PHD
• Christine Emilie Ghatan, MD
• Omar A. Ghausi, M.D.
• Selemawit Teklia Ghebrendrias

• General Practice Dentistry in La Jolla, CA
• Providers in La Jolla, 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 Sep 12, 2025; 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.