Active NPI
Rojin Amiri
- Pediatric Dentistry
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 100533
- Practice address
- 4155 Moorpark Ave Ste 10
San Jose, CA 95117-1714 - Phone
- (408) 585-9494
- Fax
- (408) 247-1875
- NPI assigned
- May 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 100533 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | LDR180199 | IN | |
| Dentist | 122300000X | 100533 | CA |
Addresses
Primary practice location
4155 Moorpark Ave Ste 10
San Jose, CA 95117-1714
Mailing address
4155 Moorpark Ave Ste 10
San Jose, CA 95117-1714
Other practice location 1
6245 N Fresno St
Suite 103
Fresno, CA 93710-5270
Phone (559) 554-9999
Other practice location 2
1127 S St
Fresno, CA 93721-1408
Phone (559) 554-9999
Other practice location 3
705 Riley Hospital Dr Ste 4205
Indianapolis, IN 46202
Phone (317) 944-9604
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100533 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rojin Amiri DDS Inc | Pediatric Dentistry | Current | Accepting new patients |
| Children's Dentistry and Orthodontics of Fresno a Dental Office of Ste | Past | Accepting new patients | |
| University Pediatric Dentistry Associates | Pediatric Dentistry | Past | Accepting new patients |
Locations
4155 Moorpark Ave
Ste 10
San Jose, CA 95117
Phone (408) 410-5398
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Saratoga Pediatric Dentistry
- Pediatric Dentistry
- San Jose, CA
- NPI 1053980870
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fresno, CA
- NPI 1174157044
-
- Pediatric Dentistry
- Indianapolis, IN
- NPI 1003947599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1285012344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4155 MOORPARK AVE STE 10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171714",
"fax_number": "408-247-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 MOORPARK AVE STE 10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171714",
"telephone_number": "408-585-9494",
"fax_number": "408-247-1875"
}
],
"practiceLocations": [
{
"address_1": "6245 N Fresno St",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937105270",
"country_code": "US",
"telephone_number": "559-554-9999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1127 S St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937211408",
"country_code": "US",
"telephone_number": "559-554-9999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "705 Riley Hospital Dr Ste 4205",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46202",
"country_code": "US",
"telephone_number": "317-944-9604",
"fax_number": "317-948-0760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMIRI",
"first_name": "ROJIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-09",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "100533",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "LDR180199",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100533",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.