Baker and Khorsand Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BAKER AND KHORSAND DENTAL CORPORATION

Practice address

646 W Main St
Ste #a
El Centro, CA 92243

Phone

(760) 339-9992

Fax

(760) 353-3635

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Arash Khorsand, DMD

Title

Owner Dentist

Phone

(760) 339-9992

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174536148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W MAIN ST",
            "address_2": "STE #A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-339-9992",
            "fax_number": "760-353-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 W MAIN ST",
            "address_2": "STE #A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-339-9992",
            "fax_number": "760-353-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER AND KHORSAND DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHORSAND",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "760-339-9992",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL SERVICES OF",
            "identifier": "9179884",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL HELATHY FAMI",
            "identifier": "G98614",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in El Centro, CA
• Providers in El Centro, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.