NPIMap

Organization Active NPI

Dr. Afshar Dental Corporation

  • Dentist
  • Hesperia, CA
National Provider Identifier
1053598805
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
07-11319 Issued in CA
Legal business name
DR. AFSHAR DENTAL CORPORATION
Practice address
15550 Main St Ste B7
Hesperia, CA 92345-3491
Phone
(760) 947-7777
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Siamak Afshar, DDS
Title
Owner
Phone
(760) 947-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 07-11319 CA Primary

Addresses

Primary practice location

15550 Main St Ste B7
Hesperia, CA 92345-3491

Mailing address

15550 Main St Ste B7
Hesperia, CA 92345-3491
Phone (760) 947-7777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1053598805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 MAIN ST STE B7",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453491",
            "telephone_number": "760-947-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15550 MAIN ST STE B7",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453491",
            "telephone_number": "760-947-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AFSHAR DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "AFSHAR",
        "authorized_official_first_name": "SIAMAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-947-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "07-11319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.