NPIMap

Organization Active NPI

Tri-City Dental Excellence

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1437618154
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRI-CITY DENTAL EXCELLENCE
Practice address
326 S Melrose Dr Ste 101
Vista, CA 92081-6618
Phone
(760) 216-6886
NPI assigned
Mar 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Arash Rastegar-PanahNPI 1689832677
Title
Owner
Phone
(310) 937-6453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

326 S Melrose Dr Ste 101
Vista, CA 92081-6618

Mailing address

326 S Melrose Dr Ste 101
Vista, CA 92081-6618
Phone (760) 216-6886

National Provider Directory

National Provider Directory
Tax ID family
Tri-City Dental Excellence2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

326 S Melrose Dr
Ste 101
Vista, CA 92081
Phone (760) 216-6886

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1437618154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S MELROSE DR STE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816618",
            "telephone_number": "760-216-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S MELROSE DR STE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816618",
            "telephone_number": "760-216-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY DENTAL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "RASTEGAR-PANAH",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-937-6453"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.