Ahmadi Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AHMADI DENTAL GROUP

Practice address

3330 3Rd Ave Ste 200
San Diego, CA 92103-5639

Phone

(619) 816-2128

NPI assigned

Jun 10, 2022

Last updated

Sep 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kereshmeh Ahmadi, DMDNPI 1710265673

Title

Owner/ Dentist

Phone

(619) 365-0929

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kereshmeh Ahmadi, DMD

  • Dentist
  • San Diego, CA
  • NPI 1710265673
  NPD Authorized official
• Shawyan Yazdanmehr, DDS

  • Dentist
  • San Diego, CA
  • NPI 1902419468

  General Practice

  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1114657400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-285-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-816-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMADI DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-09-15",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "AHMADI",
        "authorized_official_first_name": "KERESHMEH",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "619-365-0929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jusleen Ahluwalia, M.D.
• Vineeta Ahluwalia, O.D.
• Ahmad Miran Nawaz Dental Corporation
• Ehatsham Ahmad, M.D.
• Robina Ahmad, MD
• Kereshmeh Ahmadi, DMD
• David Ahmadian, MD
• Fay Ahmadpour, DDS
• Nasrollah Ahmadpour, M.D.
• Oliver Abbas Ahmadpour, M.D.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.