Organization Active NPI

Amrollahie DMD Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Vista, CA
National Provider Identifier
1104660687
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
AMROLLAHIE DMD INC
Practice address
105 Durian St Ste C
Vista, CA 92083-6240
Phone
(760) 733-8080
Fax
(760) 276-7888
NPI assigned
Jun 20, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AMROLLAHIE DMD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Dr. Ali AmrollahieNPI 1588001218
Title
President
Phone
(949) 510-7795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

105 Durian St Ste C
Vista, CA 92083-6240

Mailing address

105 Durian St Ste C
Vista, CA 92083-6240
Phone (760) 733-8080

National Provider Directory

National Provider Directory
Tax ID family
Amrollahie DMD Inc2 organizations share this tax ID, including this one
Part of
Amrollahie DMD Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 Durian St
Ste C
Vista, CA 92083
Phone (760) 707-4521

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1104660687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DURIAN ST STE C",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836240",
            "telephone_number": "760-733-8080",
            "fax_number": "760-276-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DURIAN ST STE C",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836240",
            "telephone_number": "760-733-8080",
            "fax_number": "760-276-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMROLLAHIE DMD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMROLLAHIE DMD INC",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "AMROLLAHIE",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-510-7795",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.