Organization Active NPI

Dr Anosh DDS Inc

  • Dentist
  • Rancho Cordova, CA
National Provider Identifier
1376931063
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57015 Issued in CA
Legal business name
DR ANOSH DDS INC
Practice address
11050 Coloma Rd Ste 17
Rancho Cordova, CA 95670-2870
Phone
(916) 635-9800
Fax
(916) 635-9802
NPI assigned
Jan 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Dr. Mohammad Anosh, DDS
Title
Ownner
Phone
(916) 635-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 57015 CA Primary

Addresses

Primary practice location

11050 Coloma Rd Ste 17
Rancho Cordova, CA 95670-2870

Mailing address

11050 Coloma Rd Ste 17
Rancho Cordova, CA 95670-2870
Phone (916) 635-9800

National Provider Directory

National Provider Directory

Locations

11050 Coloma Rd
Ste 17
Rancho Cordova, CA 95670
Phone (916) 635-9800

Practitioners & affiliated clinicians

Practitioners 1

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": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1376931063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 COLOMA RD STE 17",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702870",
            "telephone_number": "916-635-9800",
            "fax_number": "916-635-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 COLOMA RD STE 17",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702870",
            "telephone_number": "916-635-9800",
            "fax_number": "916-635-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANOSH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "ANOSH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNNER",
        "authorized_official_telephone_number": "916-635-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.