Organization Active NPI

Ali Haeri D M D M H S a

  • Periodontics
  • El Cajon, CA
National Provider Identifier
1437646965
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
ALI HAERI D M D M H S A
Practice address
1297 W Main St Ste a
El Cajon, CA 92020-4135
Phone
(619) 579-0505
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Ali Haeri, DDS
Title
President
Phone
(619) 579-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1297 W Main St Ste a
El Cajon, CA 92020-4135

Mailing address

1297 W Main St Ste a
El Cajon, CA 92020-4135
Phone (619) 579-0505

National Provider Directory

National Provider Directory

Locations

1297 W Main St
Ste A
El Cajon, CA 92020
Phone (619) 579-0505

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1437646965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 W MAIN ST STE A",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204135",
            "telephone_number": "619-579-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 W MAIN ST STE A",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204135",
            "telephone_number": "619-579-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI HAERI D M D M H S A",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "HAERI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-579-0505",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.