Organization Active NPI

Destiny Dental Implant Center

  • Dental Clinic/Center
  • Rocklin, CA
National Provider Identifier
1104265958
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
51887 Issued in CA
Legal business name
DESTINY DENTAL IMPLANT CENTER
Practice address
6950 Destiny Dr
Rocklin, CA 95677-2987
Phone
(916) 672-6377
Fax
(916) 672-6477
NPI assigned
Jun 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Dr. Esfandiar Abadi, DDS
Title
President
Phone
(916) 762-6377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 51887 CA Primary

Addresses

Primary practice location

6950 Destiny Dr
Rocklin, CA 95677-2987

Mailing address

6950 Destiny Dr
Rocklin, CA 95677-2987
Phone (916) 672-6377

National Provider Directory

National Provider Directory

Locations

6950 Destiny Dr
Rocklin, CA 95677
Phone (916) 672-6377

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1104265958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 DESTINY DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772987",
            "telephone_number": "916-672-6377",
            "fax_number": "916-672-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 DESTINY DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772987",
            "telephone_number": "916-672-6377",
            "fax_number": "916-672-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "ABADI",
        "authorized_official_first_name": "ESFANDIAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-762-6377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "51887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.