Kaweh Farahbod, D.D.S., a Professional Corp

Primary specialty

DentistTaxonomy code 122300000X

License

41724 Issued in CA

Legal business name

KAWEH FARAHBOD, D.D.S., A PROFESSIONAL CORP

Doing business as

Family Dentistry

Practice address

7689 Westminster Blvd
Westminster, CA 92683-3921

Phone

(714) 893-1356

Fax

(714) 894-9387

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kaweh Farahbod, DDSNPI 1891881579

Title

Owner

Phone

(714) 893-1356

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• FAMILY DENTISTRY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaweh Farahbod, D.D.S.

  • General Practice Dentistry
  • Wesmister, CA
  • NPI 1891881579
  NPD (past) Authorized official

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1114126984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7689 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833921",
            "telephone_number": "714-893-1356",
            "fax_number": "714-894-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7689 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833921",
            "telephone_number": "714-893-1356",
            "fax_number": "714-894-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWEH FARAHBOD, D.D.S., A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "FARAHBOD",
        "authorized_official_first_name": "KAWEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-893-1356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "685422",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B41724-1",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D41724-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "41724",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Simrat Kaur, PHARMD
• Jade Pacheco Kay, CFNP
• KD Enterprise Holdings (KD Podiatry Group)
• Kailey Kelley, SLP-CCC
• Debra Lee Kelsey, CADC
• Mary Elizabeth Kendrick, RN

• Dentist in Westminster, CA
• Providers in Westminster, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.