Organization Active NPI

H Kazemi DDS a Prof Cooperation

Doing business as American Family Dentistry

  • General Practice Dentistry
  • Roseville, CA
National Provider Identifier
1093867806
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46839 Issued in CA
Legal business name
H KAZEMI DDS A PROF COOPERATION
Doing business as
American Family Dentistry
Practice address
901 Sunrise Ave
Suite A1
Roseville, CA 95661
Phone
(916) 789-8530
Fax
(916) 789-1339
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Hossein Kazemi, DDS
Title
Ceo
Phone
(916) 789-8530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46839 CA Primary

Addresses

Primary practice location

901 Sunrise Ave
Suite A1
Roseville, CA 95661

Mailing address

901 Sunrise Ave
Suite A1
Roseville, CA 95661
Phone (916) 789-8530

Other names 1

  • American Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093867806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SUNRISE AVE",
            "address_2": "SUITE A1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-789-8530",
            "fax_number": "916-789-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNRISE AVE",
            "address_2": "SUITE A1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-789-8530",
            "fax_number": "916-789-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H KAZEMI DDS A PROF COOPERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZEMI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-789-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, 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.