NPIMap

Organization Active NPI

Noor Rahimi Dental Corporation

Doing business as La Habra Modern Dentistry

  • General Practice Dentistry
  • La Habra, CA
National Provider Identifier
1407158223
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46939 Issued in CA
Legal business name
NOOR RAHIMI DENTAL CORPORATION
Doing business as
La Habra Modern Dentistry
Practice address
1701 W Imperial Hwy Ste B
La Habra, CA 90631-0604
Phone
(562) 690-5729
Fax
(562) 697-6831
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Dr. Noor J Rahimi, DDS
Title
Owner Doctor
Phone
(562) 690-5729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 46939 CA Primary

Addresses

Primary practice location

1701 W Imperial Hwy Ste B
La Habra, CA 90631-0604

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 368-2077

Other names 1

  • La Habra Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1701 W Imperial Hwy
Ste B
La Habra, CA 90631
Phone (562) 475-4568

Practitioners & affiliated clinicians

Practitioners 4

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": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1407158223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-368-2077",
            "fax_number": "714-508-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W IMPERIAL HWY STE B",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906310604",
            "telephone_number": "562-690-5729",
            "fax_number": "562-697-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOOR RAHIMI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "NOOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "562-690-5729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Habra Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.