N Abhari DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

40793 Issued in CA

Legal business name

N ABHARI DDS PC

Practice address

3023 Bunker Hill St
Suite 101
San Diego, CA 92109

Phone

(858) 270-1400

Fax

(858) 270-1424

NPI assigned

Oct 10, 2006

Last updated

Jul 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nadere Abhari, DDS FDS RCS

Title

Ceo

Phone

(858) 270-1400

Specialties & licenses 1

Addresses

Other names 1

• Mission Bay Family Dental Center Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kwang Seo Park, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1457486086
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1366530115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 BUNKER HILL ST",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "858-270-1400",
            "fax_number": "858-270-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 BUNKER HILL ST",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "858-270-1400",
            "fax_number": "858-270-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N ABHARI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "ABHARI",
        "authorized_official_first_name": "NADERE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-270-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS FDS RCS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Bay Family Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.