Organization Active NPI

Kian Farzaneh D.D.S., Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Danville, CA
National Provider Identifier
1285761411
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
46587 Issued in CA
Legal business name
KIAN FARZANEH D.D.S., INC
Practice address
801 San Ramon Valley Blvd Ste a
Danville, CA 94526-4027
Phone
(925) 831-9217
Fax
(925) 831-9218
NPI assigned
Feb 27, 2007
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Dr. Kian Farzaneh, D.D.S.NPI 1982621942
Title
President
Phone
(925) 831-9217

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 46587 CA Primary

Addresses

Primary practice location

801 San Ramon Valley Blvd Ste a
Danville, CA 94526-4027

Mailing address

801 San Ramon Valley Blvd Ste a
Danville, CA 94526-4027
Phone (925) 831-9217

National Provider Directory

National Provider Directory

Locations

801 San Ramon Valley Blvd
Ste A
Danville, CA 94526
Phone (925) 831-9217

903 San Ramon Valley Blvd
Ste 126
Danville, CA 94526
Phone (925) 552-0490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1285761411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SAN RAMON VALLEY BLVD STE A",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264027",
            "telephone_number": "925-831-9217",
            "fax_number": "925-831-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SAN RAMON VALLEY BLVD STE A",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264027",
            "telephone_number": "925-831-9217",
            "fax_number": "925-831-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIAN FARZANEH D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "FARZANEH",
        "authorized_official_first_name": "KIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-831-9217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "46587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.