Organization Active NPI

Roya Niakian a Professional Corporation

Doing business as 6th Avenue Periodontics & Implant Dentistry

  • Periodontics
  • San Diego, CA
National Provider Identifier
1134345507
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
44232 Issued in CA
Legal business name
ROYA NIAKIAN A PROFESSIONAL CORPORATION
Doing business as
6th Avenue Periodontics & Implant Dentistry
Practice address
1111 6TH Avenue Ste 102
San Diego, CA 92101
Phone
(619) 702-7113
Fax
(619) 702-7114
NPI assigned
Apr 17, 2007
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Roya Niakiani, DMDNPI 1902025976
Title
Owner
Phone
(619) 702-7113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 44232 CA Primary

Addresses

Primary practice location

1111 6TH Avenue Ste 102
San Diego, CA 92101

Mailing address

1111 6TH Avenue Ste 102
San Diego, CA 92101
Phone (619) 702-7113

Other names 1

  • 6th Avenue Periodontics & Implant Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1111 6th Ave
Ste 102
San Diego, CA 92101
Phone (619) 702-7113

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1134345507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 6TH AVENUE STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-702-7113",
            "fax_number": "619-702-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVENUE STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-702-7113",
            "fax_number": "619-702-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYA NIAKIAN A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "NIAKIANI",
        "authorized_official_first_name": "ROYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-702-7113",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "44232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "6th Avenue Periodontics & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.