NPIMap

Organization Active NPI

Pourshirazi & Sareh Dental Corp

  • Dental Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1053884924
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
POURSHIRAZI & SAREH DENTAL CORP
Practice address
2015 N Waterman Ave Ste B
San Bernardino, CA 92404-4810
Phone
(951) 775-5536
NPI assigned
Jan 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Homayoun Pourshirazi, DMDNPI 1376797621
Title
President
Phone
(951) 672-9457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2015 N Waterman Ave Ste B
San Bernardino, CA 92404-4810

Mailing address

27192 Newport Rd Ste 2
Menifee, CA 92584-7387
Phone (951) 672-9457

Other names 1

  • All Smile Dental Group of Dr. Pourshirazi Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1053884924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27192 NEWPORT RD STE 2",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847387",
            "telephone_number": "951-672-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 N WATERMAN AVE STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044810",
            "telephone_number": "951-775-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POURSHIRAZI & SAREH DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "POURSHIRAZI",
        "authorized_official_first_name": "HOMAYOUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-672-9457",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Smile Dental Group of Dr. Pourshirazi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.