Organization Active NPI

Kamran Sahabi Dental Corporation

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1356873053
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39202 Issued in CA
Legal business name
KAMRAN SAHABI DENTAL CORPORATION
Practice address
1717 3Rd St
Riverside, CA 92507-3435
Phone
(951) 200-2000
NPI assigned
Mar 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Dr. Kamran Sahabi, DDS
Title
President
Phone
(818) 395-4833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 39202 CA Primary

Addresses

Primary practice location

1717 3Rd St
Riverside, CA 92507-3435

Mailing address

1717 3Rd St
Riverside, CA 92507-3435

National Provider Directory

National Provider Directory

Locations

1717 3rd St
Riverside, CA 92507
Phone (818) 395-4833

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1356873053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 3RD ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 3RD ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073435",
            "telephone_number": "951-200-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMRAN SAHABI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "SAHABI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-395-4833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.