NPIMap

Organization Active NPI

Farhad Kiani DDS PC

  • Dentist
  • Jackson, CA
National Provider Identifier
1215229802
Registry record updated May 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FARHAD KIANI DDS PC
Practice address
12120 Industry Blvd
Suite 35
Jackson, CA 95642-9374
Phone
(310) 717-6656
NPI assigned
May 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2011

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

Authorized official

Name
Farhad Kiani Falavarjani, DDS
Title
Owner
Phone
(310) 717-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

12120 Industry Blvd
Suite 35
Jackson, CA 95642-9374

Mailing address

12120 Industry Blvd
Suite 35
Jackson, CA 95642-9374
Phone (310) 717-6656

National Provider Directory

National Provider Directory
Tax ID family
Dentist in Green2 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

12120 Industry Blvd
Ste 35
Jackson, CA 95642
Phone (209) 353-3275

NPI Registry JSON

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

{
    "created_epoch": "1305331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305331200000",
    "number": "1215229802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 INDUSTRY BLVD",
            "address_2": "SUITE 35",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429374",
            "telephone_number": "310-717-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 INDUSTRY BLVD",
            "address_2": "SUITE 35",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429374",
            "telephone_number": "310-717-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHAD KIANI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-14",
        "last_updated": "2011-05-14",
        "status": "A",
        "authorized_official_last_name": "KIANI FALAVARJANI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-717-6656",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2011; 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.