Reza Khazaeizadeh DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57020 Issued in CA

Legal business name

REZA KHAZAEIZADEH DDS INC

Doing business as

One World Dentistry

Practice address

243 N Farmersville Blvd
Farmersville, CA 93223-1570

Phone

(559) 747-5200

Fax

(559) 747-5203

NPI assigned

Aug 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Reza Khazaeizadeh, DDSNPI 1649438235

Title

President

Phone

(559) 747-5200

Specialties & licenses 1

Addresses

Other names 1

• One World Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reza Khazaeizadeh, DDS

  • General Practice Dentistry
  • Farmersville, CA
  • NPI 1649438235
  NPD (past) Authorized official

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1285981159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 N FARMERSVILLE BLVD",
            "city": "FARMERSVILLE",
            "state": "CA",
            "postal_code": "932231570",
            "telephone_number": "559-747-5200",
            "fax_number": "559-747-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 N FARMERSVILLE BLVD",
            "city": "FARMERSVILLE",
            "state": "CA",
            "postal_code": "932231570",
            "telephone_number": "559-747-5200",
            "fax_number": "559-747-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA KHAZAEIZADEH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "KHAZAEIZADEH",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-747-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One World Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celeste Anhthy Nguyen
• Rachel Oliveira
• Tiffany Owens-Stark
• Leticia Perez, SCHOOL COUNSELING
• Raynado Garcia MD
• Andreia Rhoten
• Luis Rivera
• Guadalupe Rodarte
• Angelica Rogers, NURSE
• Mercedes Rosales

• General Practice Dentistry in Farmersville, CA
• Providers in Farmersville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.