Active NPI
Ali Agahi
Doing business as Exeter Family Dentistry
- Dentist
- Exeter, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35587
- Legal business name
- ALI AGAHI
- Doing business as
- Exeter Family Dentistry
- Practice address
- 136 N C St
Exeter, CA 93221-1805 - Phone
- (559) 592-9017
- NPI assigned
- May 7, 2008
- Last updated
- May 7, 2008
- Organization subpart
- Yes
- Parent organization
- ALI AGAHI
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ali Agahi, DDS
- Title
- Owner
- Phone
- (559) 592-9017
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35587 | CA | Primary |
Addresses
Primary practice location
136 N C St
Exeter, CA 93221-1805
Mailing address
136 N C St
Exeter, CA 93221-1805
Phone (559) 592-9017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B35587-01 | Medicaid | CA |
Other names 1
- Exeter Family Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Ali Agahi
- Part of
- Ali Agahi
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
136 N C St
Exeter, CA 93221
Phone (559) 592-9017
Practitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Exeter, CA
- NPI 1972519817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210118400000",
"number": "1376719435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 N C ST",
"city": "EXETER",
"state": "CA",
"postal_code": "932211805",
"telephone_number": "559-592-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 N C ST",
"city": "EXETER",
"state": "CA",
"postal_code": "932211805",
"telephone_number": "559-592-9017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALI AGAHI",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALI AGAHI",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A",
"authorized_official_last_name": "AGAHI",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "559-592-9017",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "35587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B35587-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Exeter Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Exeter, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.