Organization Active NPI

Ehsan Karimian DDS, MSD, Inc.

  • Dentist
  • San Rafael, CA
National Provider Identifier
1356745202
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62539 Issued in CA
Legal business name
EHSAN KARIMIAN DDS, MSD, INC.
Practice address
908 E St Ste C
San Rafael, CA 94901-2851
Phone
(415) 457-2440
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. Ehsan Karimian
Title
Ceo
Phone
(415) 457-2440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 62539 CA Primary

Addresses

Primary practice location

908 E St Ste C
San Rafael, CA 94901-2851

Mailing address

908 E St Ste C
San Rafael, CA 94901-2851

National Provider Directory

National Provider Directory

Locations

908 E St
Ste C
San Rafael, CA 94901
Phone (415) 407-1257

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1356745202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 E ST STE C",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 E ST STE C",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012851",
            "telephone_number": "415-457-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHSAN KARIMIAN DDS, MSD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "KARIMIAN",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-457-2440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.