Ghazaleh Nouri, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS102462 Issued in CA

Practice address

7319 Milliken Ave Ste 110
Rancho Cucamonga, CA 91730-6704

Phone

(909) 945-3650

NPI assigned

May 28, 2018

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ghazaleh Nouri Dental Corp

  dba Magnolia Modern Dental

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1982369385
  NPD (past) Authorized official
• Hsieh and Abdelkarim Dental Corporation

  dba Rancho Cucamonga Smiles Dentistry Dental Group

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1770928632
  NPD (past)

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1093206872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 CLIPSTONE CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035266",
            "telephone_number": "626-235-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 MILLIKEN AVE STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306704",
            "telephone_number": "909-945-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURI",
        "first_name": "GHAZALEH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS102462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Norman
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• Laura Anne Norton, DO
• Nova Individual and Family Therapy Inc
• Nova Ridge Partners LLC
• Kaila Marie Nova
• Alexia Lauren Novak
• Novalink Hub LLC

• Dentist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.