Organization Active NPI

Ali Khosrovani Parham Ramtin Lila Zarrinnam

  • General Practice Dentistry
  • Canyon Country, CA
National Provider Identifier
1164866810
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47217 Issued in CA
Legal business name
ALI KHOSROVANI PARHAM RAMTIN LILA ZARRINNAM
Practice address
27209 Camp Plenty Rd
Canyon Country, CA 91351-2634
Phone
(661) 251-0480
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Dr. Ali Khosrovani
Title
Owner/Dentist
Phone
(661) 886-5274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47217 CA Primary

Addresses

Primary practice location

27209 Camp Plenty Rd
Canyon Country, CA 91351-2634

Mailing address

27209 Camp Plenty Rd
Canyon Country, CA 91351-2634
Phone (661) 251-0480

Other names 1

  • A New Smile Canyon Country Doing business as

National Provider Directory

National Provider Directory

Locations

27209 Camp Plenty Rd
#A
Canyon Country, CA 91351
Phone (616) 251-0480

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1164866810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27209 CAMP PLENTY RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913512634",
            "telephone_number": "661-251-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27209 CAMP PLENTY RD",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913512634",
            "telephone_number": "661-251-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI KHOSROVANI PARHAM RAMTIN LILA ZARRINNAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "KHOSROVANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "661-886-5274",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A New Smile Canyon Country",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 8, 2014; 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.