F Moftakhar DDS a Professional Corp

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

F MOFTAKHAR DDS A PROFESSIONAL CORP

Doing business as

Bay Area Dental Specialty Group

Practice address

3301 E 12TH St Ste 163
Oakland, CA 94601-2939

Phone

(510) 533-1123

Fax

(510) 485-5109

NPI assigned

Apr 25, 2007

Last updated

Jul 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Farshad Moftakhar, DDS

Title

Owner Ceo

Phone

(626) 246-0150

Specialties & licenses 5

Addresses

Other names 1

• Bay Area Dental Specialty Group Doing business as

Tax ID family

Bay Area Dental Specialty Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• F Moftakhar DDS a Professional Corp

  dba Elegant Smiles Dental Center

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1447479555
  NPD tax ID
• F. Moftakhar DDS a Professional Corp.

  dba Brookvale Family Dental

  • General Practice Dentistry
  • Fremont, CA
  • NPI 1215054317
  NPD tax ID
• F. Moftakhar DDS a Professional Corp.

  dba East Bay Family Dentistry

  • Dentist
  • Oakland, CA
  • NPI 1508084799
  NPD tax ID

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1063631109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E ECKERMAN AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST STE 163",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012939",
            "telephone_number": "510-533-1123",
            "fax_number": "510-485-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F MOFTAKHAR DDS A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MOFTAKHAR",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "626-246-0150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Dental Specialty Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Excell Post Acute LLC (Excell Health Care Center)
• Eye Physicians of the East Bay Medical Corporation
• Ugomma Eze
• Sharon V. Ezekiel, LCSW
• Farrah Ezzeddine, MD
• F Moftakhar DDS a Professional Corp (Elegant Smiles Dental Center)
• F. Moftakhar DDS a Professional Corp. (East Bay Family Dentistry)
• F. Myron Hays, PH.D.
• Erica Q Faafiu, NP
• Adefunke Fabayo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.