Organization Active NPI

Nader Afshari DDS & Soheil Amiroazzami DDS a Professional Dental Corp

  • General Practice Dentistry
  • Apple Valley, CA
National Provider Identifier
1073778494
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45082 Issued in CA
Legal business name
NADER AFSHARI DDS & SOHEIL AMIROAZZAMI DDS A PROFESSIONAL DENTAL CORP
Practice address
16127 Kasota Rd
Suite 101
Apple Valley, CA 92307-2204
Phone
(760) 242-3626
Fax
(760) 242-5609
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Soheil Amirmoazzami, D.D.S.
Title
Owner
Phone
(760) 242-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45082 CA Primary

Addresses

Primary practice location

16127 Kasota Rd
Suite 101
Apple Valley, CA 92307-2204

Mailing address

16127 Kasota Rd
Suite 101
Apple Valley, CA 92307-2204
Phone (760) 242-3626

National Provider Directory

National Provider Directory

Locations

16127 Kasota Rd
Ste 101
Apple Valley, CA 92307
Phone (760) 242-3626

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": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1073778494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16127 KASOTA RD",
            "address_2": "SUITE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072204",
            "telephone_number": "760-242-3626",
            "fax_number": "760-242-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16127 KASOTA RD",
            "address_2": "SUITE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072204",
            "telephone_number": "760-242-3626",
            "fax_number": "760-242-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER AFSHARI DDS & SOHEIL AMIROAZZAMI DDS A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "AMIRMOAZZAMI",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-242-3626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.