Alan Golshanara, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42825 Issued in CA

Practice address

6600 Mercy CT
Suite # 220
Fair Oaks, CA 95628-3158

Phone

(916) 965-7036

Fax

(916) 965-5778

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336286335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT",
            "address_2": "SUITE # 220",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283158",
            "telephone_number": "916-965-7036",
            "fax_number": "916-965-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT",
            "address_2": "SUITE # 220",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283158",
            "telephone_number": "916-965-7036",
            "fax_number": "916-965-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLSHANARA",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charandip Gill
• Chynna Glasson
• Barbara Ann Glisson, PH.D.
• Helene E. Goble, MFT
• Roman Golas
• Frank Gontarski, D.D.S.
• Angel Gonzalez
• Deborah Kay Gonzalez
• Daniel R Goold, PAC
• Goradia Medical Corporation

• General Practice Dentistry in Fair Oaks, CA
• Providers in Fair Oaks, 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 Jul 8, 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.