Organization Active NPI

Ali Behzadi D.M.D P.a

  • Dental Clinic/Center
  • Casselberry, FL
National Provider Identifier
1134429319
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALI BEHZADI D.M.D P.A
Practice address
945 State Road 436
Casselberry, FL 32707-5662
Phone
(407) 831-4077
Fax
(407) 831-8077
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Dr. Ali Behzadi, D.M.DNPI 1558562884
Title
Dentist
Phone
(407) 831-4077

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

945 State Road 436
Casselberry, FL 32707-5662

Mailing address

945 State Road 436
Casselberry, FL 32707-5662
Phone (407) 831-4077

National Provider Directory

National Provider Directory

Locations

945 State Road 436
Casselberry, FL 32707
Phone (407) 831-4077

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": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1134429319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075662",
            "telephone_number": "407-831-4077",
            "fax_number": "407-831-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075662",
            "telephone_number": "407-831-4077",
            "fax_number": "407-831-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI BEHZADI D.M.D P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "BEHZADI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-831-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.