Jalil Ghorbani, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011106 Issued in AZ

Practice address

5271 S Calle Santa Cruz Ste 181
Tucson, AZ 85706-3561

Phone

(520) 889-3379

NPI assigned

Jul 9, 2021

Last updated

Jul 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1417528423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 N PARK AVE APT 805",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194430",
            "telephone_number": "920-242-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5271 S CALLE SANTA CRUZ STE 181",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857063561",
            "telephone_number": "520-889-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHORBANI",
        "first_name": "JALIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raja Sireesha Ghantasala, MBBS
• Laith Ghazala, M.D
• Neil M Gheewala, M.D.
• Fayez K Ghishan, M.D.
• Hossein Ghofrani, M.D.
• Aditi Ghosh, M.D.
• Dee Ghost, RN
• Joey Ghotmi, M.D.
• Emily Ghusson
• Jaclyn Ghusson, RN

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.