Active NPI
Ehsan Karimian DDS, MSD, Inc.
- Dentist
- San Rafael, CA
National Provider Identifier
1356745202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62539
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.