A. R. Ghassemi D.D.S., M.S., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

40595 Issued in CA

Legal business name

A. R. GHASSEMI D.D.S., M.S., P.C.

Doing business as

Fifth Avenue Dental Arts

Practice address

450 A St Ste 200
San Diego, CA 92101-4217

Phone

(619) 233-3338

NPI assigned

Jan 19, 2015

Last updated

Jan 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ramin Ghassemi, D.D.S., MS

Title

Owner

Phone

(619) 233-3338

Specialties & licenses 2

Addresses

Other names 1

• Fifth Avenue Dental Arts Doing business as

Locations

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1215326947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 A ST STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014217",
            "telephone_number": "619-233-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 A ST STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014217",
            "telephone_number": "619-233-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. R. GHASSEMI D.D.S., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "GHASSEMI",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-233-3338",
        "authorized_official_credential": "D.D.S., MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40681",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fifth Avenue Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.