NPIMap

Organization Active NPI

City Dental Group

  • Dentist
  • San Carlos, CA
National Provider Identifier
1376811190
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47030 Issued in CA
Legal business name
CITY DENTAL GROUP
Practice address
1186 Brittan Ave
San Carlos, CA 94070-3929
Phone
(650) 595-2489
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Zahra Akhondi, DDSNPI 1659451698
Title
Dentist
Phone
(650) 595-2489

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 47030 CA Primary

Addresses

Primary practice location

1186 Brittan Ave
San Carlos, CA 94070-3929

Mailing address

1186 Brittan Ave
San Carlos, CA 94070-3929
Phone (650) 595-2489

National Provider Directory

National Provider Directory

Locations

1186 Brittan Ave
San Carlos, CA 94070
Phone (650) 591-2675

Practitioners & affiliated clinicians

Practitioners 2

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1376811190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 BRITTAN AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703929",
            "telephone_number": "650-595-2489",
            "fax_number": "650-453-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 BRITTAN AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703929",
            "telephone_number": "650-595-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "AKHONDI",
        "authorized_official_first_name": "ZAHRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-595-2489",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.