NPIMap

Organization Active NPI

David S. Nikfarjam DDS, Inc.

  • General Practice Dentistry
  • Berkeley, CA
National Provider Identifier
1326248147
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43216 Issued in CA
Legal business name
DAVID S. NIKFARJAM DDS, INC.
Practice address
2320 Woolsey St Ste 312
Berkeley, CA 94705-1976
Phone
(510) 848-8624
Fax
(510) 848-0585
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Jose Naranjo
Title
Office Manager
Phone
(510) 848-8624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43216 CA Primary

Addresses

Primary practice location

2320 Woolsey St Ste 312
Berkeley, CA 94705-1976

Mailing address

2320 Woolsey St Ste 312
Berkeley, CA 94705-1976
Phone (510) 848-8624

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1326248147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST STE 312",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051976",
            "telephone_number": "510-848-8624",
            "fax_number": "510-848-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST STE 312",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051976",
            "telephone_number": "510-848-8624",
            "fax_number": "510-848-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. NIKFARJAM DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "NARANJO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-848-8624"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.