Dr Kolahi Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34829 Issued in CA

Legal business name

DR KOLAHI DENTAL CORP

Practice address

3913 N Peck Rd
Peck Rd Dental Care
El Monte, CA 91732

Phone

(626) 350-1111

Fax

(626) 350-1111

NPI assigned

Sep 13, 2007

Organization subpart

Yes

Parent organization

DR KOLAHI DENTAL CORPAs reported in NPPES

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

Authorized official

Name

Mehrtaj Dabiri, DDS

Title

Dentist

Phone

(626) 350-1111

Specialties & licenses 1

Addresses

Other names 1

• Peck RD Dental Care Doing business as

Part of

Dr Kolahi Dental Corp

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javad Kolahi, DDS

  • Dentist
  • El Monte, CA
  • NPI 1013962398
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1437344280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 N PECK RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91732",
            "telephone_number": "626-350-1111",
            "fax_number": "626-350-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 N PECK RD",
            "address_2": "PECK RD DENTAL CARE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91732",
            "telephone_number": "626-350-1111",
            "fax_number": "626-350-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KOLAHI DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR KOLAHI DENTAL CORP",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "DABIRI",
        "authorized_official_first_name": "MEHRTAJ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-350-1111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peck RD Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in El Monte, CA
• Providers in El Monte, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.