NPIMap

Organization Active NPI

Cyrus M. Akhbari D.M.D a Proffesional Dental Coorporation

  • Pediatric Dentistry
  • San Jose, CA
National Provider Identifier
1366642670
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CYRUS M. AKHBARI D.M.D A PROFFESIONAL DENTAL COORPORATION
Practice address
1201 Park Ave
Suite 2
San Jose, CA 95126-2919
Phone
(408) 971-9990
Fax
(408) 971-6628
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Dr. Cyrus M Akhbari, D.M.D.NPI 1891847596
Title
Dentist
Phone
(408) 971-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1201 Park Ave
Suite 2
San Jose, CA 95126-2919

Mailing address

1201 Park Ave
Suite 2
San Jose, CA 95126-2919
Phone (408) 971-9990

National Provider Directory

National Provider Directory

Locations

1201 Park Ave
Ste 2
San Jose, CA 95126
Phone (408) 446-1289

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1366642670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PARK AVE",
            "address_2": "SUITE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262919",
            "telephone_number": "408-971-9990",
            "fax_number": "408-971-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PARK AVE",
            "address_2": "SUITE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262919",
            "telephone_number": "408-971-9990",
            "fax_number": "408-971-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRUS M. AKHBARI D.M.D A PROFFESIONAL DENTAL COORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "AKHBARI",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-971-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.