NPIMap

Organization Active NPI

F Moftakhar DDS a Professional Corp

Doing business as Elegant Smiles Dental Center

  • General Practice Dentistry
  • Oakland, CA
National Provider Identifier
1447479555
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
F MOFTAKHAR DDS A PROFESSIONAL CORP
Doing business as
Elegant Smiles Dental Center
Practice address
3301 E 12TH St Ste 165
Oakland, CA 94601-2939
Phone
(510) 533-5500
Fax
(510) 485-5103
NPI assigned
Apr 25, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Farshad Moftakhar, DDS
Title
Owner Ceo
Phone
(626) 246-0150

Specialties & licenses 1

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

Addresses

Primary practice location

3301 E 12TH St Ste 165
Oakland, CA 94601-2939

Mailing address

1809 E Eckerman Ave
West Covina, CA 91791-1112

Other names 1

  • Elegant Smiles Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Dental Specialty Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3301 E 12th St
Ste 165
Oakland, CA 94601
Phone (510) 533-5500

1809 E Eckerman Ave
West Covina, CA 91791

Practitioners & affiliated clinicians

Practitioners 1

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1447479555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E ECKERMAN AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST STE 165",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012939",
            "telephone_number": "510-533-5500",
            "fax_number": "510-485-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F MOFTAKHAR DDS A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MOFTAKHAR",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "626-246-0150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elegant Smiles Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.