NPIMap

Organization Active NPI

Dr.Nader Tabibzadeh DDS Dental Corporation

  • General Practice Dentistry
  • Gilroy, CA
National Provider Identifier
1457530362
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41681
Legal business name
DR.NADER TABIBZADEH DDS DENTAL CORPORATION
Practice address
7671 Monterey Rd
Suite C
Gilroy, CA 95020
Phone
(408) 842-5000
Fax
(408) 848-3408
NPI assigned
Oct 26, 2007
Last updated
Dec 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Dr. Nader Tabibzadeh, DDSNPI 1376551358
Title
Owner Dentist
Phone
(408) 842-5000

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 41681 Primary

Addresses

Primary practice location

7671 Monterey Rd
Suite C
Gilroy, CA 95020

Mailing address

7671 Monterey Rd
Suite C
Gilroy, CA 95020
Phone (408) 842-5000

National Provider Directory

National Provider Directory
Tax ID family
Dr Nader Tabibzadeh DDS Dental Corporation2 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.

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": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1457530362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7671 MONTEREY RD",
            "address_2": "SUITE C",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-842-5000",
            "fax_number": "408-848-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 MONTEREY RD",
            "address_2": "SUITE C",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-842-5000",
            "fax_number": "408-848-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.NADER TABIBZADEH DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "TABIBZADEH",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "408-842-5000",
        "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": "41681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.