Organization Active NPI

Touran Davoudi DDS Dental Co.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1073734729
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47873 Issued in CA
Legal business name
TOURAN DAVOUDI DDS DENTAL CO.
Practice address
5450 Clairemont Mesa Blvd
Suite C
San Diego, CA 92117-2346
Phone
(858) 503-6789
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Touran Davoudi, DDSNPI 1114148079
Title
Ceo
Phone
(858) 503-6789

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47873 CA Primary

Addresses

Primary practice location

5450 Clairemont Mesa Blvd
Suite C
San Diego, CA 92117-2346

Mailing address

5450 Clairemont Mesa Blvd
Suite C
San Diego, CA 92117-2346
Phone (858) 503-6789

National Provider Directory

National Provider Directory

Locations

5450 Clairemont Mesa Blvd
Ste C
San Diego, CA 92117
Phone (858) 503-6789

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073734729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 CLAIREMONT MESA BLVD",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172346",
            "telephone_number": "858-503-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLAIREMONT MESA BLVD",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172346",
            "telephone_number": "858-503-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOURAN DAVOUDI DDS DENTAL CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVOUDI",
        "authorized_official_first_name": "TOURAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-503-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.