California Dental Care, Nahreen Imam, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

54000 Issued in CA

Legal business name

CALIFORNIA DENTAL CARE, NAHREEN IMAM, DDS, INC.

Practice address

3860 Broadway St
Suite # 104
American Canyon, CA 94503-4256

Phone

(510) 233-6611

NPI assigned

Oct 24, 2007

Last updated

Oct 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nahreen Imam, DDSNPI 1386761724

Title

President

Phone

(510) 233-6611

Specialties & licenses 1

Addresses

Locations

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.

• Nahreen Imam, D.D.S.

  • Dentist
  • Richmond, CA
  • NPI 1386761724
  NPD (past) Authorized official

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1306035597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 GORDON AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302154",
            "telephone_number": "510-233-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 BROADWAY ST",
            "address_2": "SUITE # 104",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945034256",
            "telephone_number": "510-233-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DENTAL CARE, NAHREEN IMAM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "IMAM",
        "authorized_official_first_name": "NAHREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-233-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Lynn Bledsoe, DPT
• Zachary Landus Booze, MD
• Pia Briones, DDS
• Cabugao DDS Inc (Encore at 32 Dental)
• Kevin James Cabugao, MBA, DDS
• Canyon Ranch Dental Care Inc.
• Stephanie Doreen Carpersmith, CMT, CHT
• Joseph Carter
• Manju Marin Chacko, CCC - SLP
• Adrian Chavez

• Dental Clinic/Center in American Canyon, CA
• Providers in American Canyon, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.