Soheil Pishgar Levi DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOHEIL PISHGAR LEVI DDS INC

Doing business as

Lake Elsinore Dental Group

Practice address

32235 Mission TR
#8
Lake Elsinore, CA 92530

Phone

(951) 674-6808

Fax

(951) 674-2668

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Soheil P Levi, DDS

Title

Owner

Phone

(951) 674-6808

Specialties & licenses 3

Addresses

Other names 1

• Lake Elsinore Dental Group Doing business as

Tax ID family

Lake Elsinore Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• S.P.Levi,DDS, Inc.

  • Dentist
  • Lake Elsinore, CA
  • NPI 1508218017
  NPD tax ID

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1184834715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32235 MISSION TR",
            "address_2": "#8",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-674-6808",
            "fax_number": "951-674-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32235 MISSION TR",
            "address_2": "#8",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "951-674-6808",
            "fax_number": "951-674-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHEIL PISHGAR LEVI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-674-6808",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Elsinore Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiersten M Smith, RADT
• Melony Smith, LVN
• Jonathan Michael Snipes, M.D.
• Socal Ritual Bodywork
• Socaltech Systems Inc.
• Erick Solis
• Reina Soliz
• Anna Marie Soriano-Samson, NP-C
• Olga P. Soto
• Southern California Primary Care Canyon Lake Urgent & Family Care

• General Practice Dentistry in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.