Organization Active NPI

Alireza Khoshvaghti DDS Inc

  • Prosthodontics
  • San Francisco, CA
National Provider Identifier
1154941276
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
ALIREZA KHOSHVAGHTI DDS INC
Practice address
220 Montgomery St Ste 483
San Francisco, CA 94104-3410
Phone
(415) 398-6344
Fax
(415) 398-6268
NPI assigned
Apr 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Authorized official

Name
Dr. Alireza Khoshvaghti, DDSNPI 1003243049
Title
Director
Phone
(240) 672-4801

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
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

220 Montgomery St Ste 483
San Francisco, CA 94104-3410

Mailing address

220 Montgomery St Ste 483
San Francisco, CA 94104-3410
Phone (415) 398-6344

Other names 1

  • Montgomery Street Dental Doing business as

National Provider Directory

National Provider Directory

Locations

220 Montgomery St
Ste 483
San Francisco, CA 94104
Phone (415) 398-6344

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": "1587168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587168000000",
    "number": "1154941276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MONTGOMERY ST STE 483",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043410",
            "telephone_number": "415-398-6344",
            "fax_number": "415-398-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MONTGOMERY ST STE 483",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043410",
            "telephone_number": "415-398-6344",
            "fax_number": "415-398-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIREZA KHOSHVAGHTI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-18",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A",
        "authorized_official_last_name": "KHOSHVAGHTI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-672-4801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2020; 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.