Reza K. Aryanpour DDS, a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47685 Issued in CA

Legal business name

REZA K. ARYANPOUR DDS, A DENTAL CORPORATION

Practice address

1436 Professional Dr Ste 302
Petaluma, CA 94954-6697

Phone

(415) 819-1977

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Reza K Aryanpour

Title

DDS/ President

Phone

(415) 819-1977

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1093156242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 PROFESSIONAL DRIVE SUITE 302",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954",
            "telephone_number": "415-819-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 PROFESSIONAL DR STE 302",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546697",
            "telephone_number": "415-819-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA K. ARYANPOUR DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "ARYANPOUR",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DDS/ PRESIDENT",
        "authorized_official_telephone_number": "415-819-1977",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lana Reuter, M.S.
• Joena Rosalia Revuelta Madrigal
• Maritza Reyes
• Tyler James Reynolds, IDHS
• Alexandra Maria Richardson, OTR/L
• Kristin Joy Richman, CNM
• Naomi Bick Richman, MFT
• Craig Edmond Rickard, PHARMD
• Maria Ricks, M.ED

• General Practice Dentistry in Petaluma, CA
• Providers in Petaluma, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.