Berkeley Hills Dental Care, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48168 Issued in CA

Legal business name

BERKELEY HILLS DENTAL CARE, INC.

Practice address

2320 Woolsey St
Suite 312
Berkeley, CA 94705-1973

Phone

(510) 848-8624

Fax

(510) 848-0585

NPI assigned

Feb 2, 2009

Organization subpart

No

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

Authorized official

Name

Fariba Pour-Ansari, D.M.DNPI 1386705168

Title

Owner/Dentisy

Phone

(510) 848-8624

Specialties & licenses 1

Addresses

Other names 1

• Berkeley Hills Dental Group Doing business as

Locations

Practitioners 2

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

• Fariba Pour-Ansari, D.M.D

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1386705168
  NPD (past) Authorized official
• Hassan Taheri, D.D.S.

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1922169796
  NPD (past)

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1356589196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST",
            "address_2": "SUITE 312",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051973",
            "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",
            "address_2": "SUITE 312",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051973",
            "telephone_number": "510-848-8624",
            "fax_number": "510-848-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY HILLS DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "POUR-ANSARI",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "OWNER/DENTISY",
        "authorized_official_telephone_number": "510-848-8624",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley Hills Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Berkeley, CA
• Providers in Berkeley, 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 Feb 2, 2009; 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.