Peninsula Specialty Dental Care

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

PENINSULA SPECIALTY DENTAL CARE

Practice address

562 Ralston Ave
Belmont, CA 94002-2832

Phone

(650) 654-1854

NPI assigned

Feb 12, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Rahmat Barkhordar, DMDNPI 1518170299

Title

President

Phone

(650) 654-1854

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rahmat Alah Barkhordar, D.M.D.

  • Endodontics
  • Belmont, CA
  • NPI 1518170299
  NPD Authorized official

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1053126201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 RALSTON AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022832",
            "telephone_number": "650-654-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 RALSTON AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022832",
            "telephone_number": "650-654-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SPECIALTY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "BARKHORDAR",
        "authorized_official_first_name": "RAHMAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-654-1854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dharmesh Patel, M.D.
• Patricia Kim
• Penguinsmart Inc.
• Peninsula Convalescent Associates LLC
• Peninsula Specialty Care
• Ericka Elizabeth Perez, RAS
• Vincent S. Perez, MD
• Laura Petix, MS, OTR/L
• Jolly Philip
• Physiotherapy Associates, Inc.

• Endodontics in Belmont, CA
• Providers in Belmont, CA by specialty
• Endodontics in California

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