Organization Active NPI

Pedram Soltanzadeh, DMD Inc

  • General Practice Dentistry
  • Whittier, CA
National Provider Identifier
1205209236
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEDRAM SOLTANZADEH, DMD INC
Practice address
13471 Telegraph Rd Ste B
Whittier, CA 90605
Phone
(562) 777-7719
Fax
(562) 777-7704
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Pedram Soltanzadeh, DMDNPI 1205900438
Title
Dentist
Phone
(562) 777-7719

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

13471 Telegraph Rd Ste B
Whittier, CA 90605

Mailing address

13471 Telegraph Rd Ste B
Whittier, CA 90605

Other names 1

  • Advanced Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced 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.

Locations

13471 Telegraph Rd
Ste B
Whittier, CA 90605
Phone (562) 777-7719

Practitioners & affiliated clinicians

Practitioners 1

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": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1205209236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13471 TELEGRAPH RD STE B",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13471 TELEGRAPH RD STE B",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90605",
            "telephone_number": "562-777-7719",
            "fax_number": "562-777-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRAM SOLTANZADEH, DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "SOLTANZADEH",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "562-777-7719",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.