NPIMap

Organization Active NPI

Roshanaei Dental Corporation

  • General Practice Dentistry
  • Canyon Country, CA
National Provider Identifier
1124382817
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54196 Issued in CA
Legal business name
ROSHANAEI DENTAL CORPORATION
Practice address
27552 Sierra Hwy
Canyon Country, CA 91351-3088
Phone
(661) 252-3533
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Mohsen Roshanaei, D.D.S.NPI 1508045394
Title
President
Phone
(661) 252-3533

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 54196 CA Primary

Addresses

Primary practice location

27552 Sierra Hwy
Canyon Country, CA 91351-3088

Mailing address

27552 Sierra Hwy
Canyon Country, CA 91351-3088
Phone (661) 252-3533

National Provider Directory

National Provider Directory

Locations

27552 Sierra Hwy
Canyon Country, CA 91351
Phone (661) 252-3533

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1124382817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27552 SIERRA HWY",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513088",
            "telephone_number": "661-252-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27552 SIERRA HWY",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513088",
            "telephone_number": "661-252-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSHANAEI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "ROSHANAEI",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-252-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.