NPIMap

Organization Active NPI

Djafari, D.D.S., Inc.

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1245310119
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44308 Issued in CA
Legal business name
DJAFARI, D.D.S., INC.
Practice address
6900 Brockton Ave Ste 2
Riverside, CA 92506-3801
Phone
(951) 682-2245
Fax
(951) 628-9169
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Dr. Parissa Djafari, D.D.S.NPI 1508309014
Title
President/Owner
Phone
(951) 682-2245

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 44308 CA Primary

Addresses

Primary practice location

6900 Brockton Ave Ste 2
Riverside, CA 92506-3801

Mailing address

6900 Brockton Ave Ste 2
Riverside, CA 92506-3801
Phone (951) 682-2245

National Provider Directory

National Provider Directory

Locations

6900 Brockton Ave
Ste 2
Riverside, CA 92506
Phone (951) 682-2245

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1245310119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 BROCKTON AVE STE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063801",
            "telephone_number": "951-682-2245",
            "fax_number": "951-628-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 BROCKTON AVE STE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063801",
            "telephone_number": "951-682-2245",
            "fax_number": "951-628-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJAFARI, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "DJAFARI",
        "authorized_official_first_name": "PARISSA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "951-682-2245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.