Organization Active NPI

Ehsani Dental Corporation

  • Dentist
  • San Diego, CA
National Provider Identifier
1225899024
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EHSANI DENTAL CORPORATION
Doing business as
Smile Arc Dental Group
Practice address
17085 Camino San Bernardo Ste 200
San Diego, CA 92127-9701
Phone
(858) 277-8084
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Nader Ehsani
Title
President
Phone
(858) 699-6160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

17085 Camino San Bernardo Ste 200
San Diego, CA 92127-9701

Mailing address

7695 Cardinal CT Ste 320
San Diego, CA 92123-3357

Other names 1

  • Smile Arc Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

7695 Cardinal Ct
Ste 320
San Diego, CA 92123
Phone (858) 277-8080

17085 Camino San Bernardo
Ste 200
San Diego, CA 92127
Phone (858) 277-8084

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1225899024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT STE 320",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17085 CAMINO SAN BERNARDO STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921279701",
            "telephone_number": "858-277-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHSANI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "EHSANI",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-699-6160",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Arc Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.