Kids Smile Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

56340 Issued in CA

Legal business name

KIDS SMILE PEDIATRIC DENTISTRY

Practice address

3142 Vista Way Ste 305
Oceanside, CA 92056-3629

Phone

(760) 529-9846

Fax

(760) 529-9846

NPI assigned

Mar 1, 2011

Organization subpart

Yes

Parent organization

AMINOLLAH BAGHERI, DDS, INC.As reported in NPPES

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

Authorized official

Name

Dr. Aminollah Bagheri, DDS

Title

Owner

Phone

(858) 776-2899

Specialties & licenses 1

Addresses

Part of

Kids Smile Pediatric Dentistry

Locations

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1376841361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY STE 305",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563629",
            "telephone_number": "760-529-9846",
            "fax_number": "760-529-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY STE 305",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563629",
            "telephone_number": "760-529-9846",
            "fax_number": "760-529-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS SMILE PEDIATRIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMINOLLAH BAGHERI, DDS, INC.",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "BAGHERI",
        "authorized_official_first_name": "AMINOLLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-776-2899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "56340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehran Khazian, DDS
• Khooshab Patish-Preobrazhenskaya Dental Corporation
• Sahar Khooshab, DDS
• Katherine Kidde
• Susan Denise Kidman, LVN
• Heather R Kiffe, LCSW
• Lauren Kikumoto, OTR/L
• Brock Kenneth Kilbourne, PH.D.
• Susan Kilby, RN
• Robert W Killebrew, DPT

• Pediatric Dentistry in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.