Individual provider Active NPI

Kiarash Karimi, D.D.S

  • Dentist
  • Foothill Ranch, CA
National Provider Identifier
1205229598
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64342 Issued in CA
Practice address
27462 Portola Pkwy Ste 205
Foothill Ranch, CA 92610-2838
Phone
(949) 450-0076
NPI assigned
Mar 10, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64342 CA Primary

Addresses

Primary practice location

27462 Portola Pkwy Ste 205
Foothill Ranch, CA 92610-2838

Mailing address

3425 Motor Ave PH 14
Los Angeles, CA 90034-4590
Phone (619) 727-7754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1205229598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 MOTOR AVE PH 14",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344590",
            "telephone_number": "619-727-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27462 PORTOLA PKWY STE 205",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102838",
            "telephone_number": "949-450-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIMI",
        "first_name": "KIARASH",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.