Iraj Nouri DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39856 Issued in CA

Legal business name

IRAJ NOURI DDS INC.

Practice address

990 Cherry Ave
Ste. #104
Long Beach, CA 90813-5940

Phone

(562) 987-0626

Fax

(562) 987-1767

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Iraj Nouri, DDS

Title

Owner Dentist

Phone

(310) 518-2697

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Iraj Nouri DDS Inc2 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.

• Iraj Nouri DDS Inc.

  • General Practice Dentistry
  • Wilmington, CA
  • NPI 1346447877
  NPD tax ID

Locations

Practitioners 1

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

• Tammy Ngoc Tran, DDS

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1215068622
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457558397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 CHERRY AVE",
            "address_2": "STE. #104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908135940",
            "telephone_number": "562-987-0626",
            "fax_number": "562-987-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 CHERRY AVE",
            "address_2": "STE. #104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908135940",
            "telephone_number": "562-987-0626",
            "fax_number": "562-987-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRAJ NOURI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOURI",
        "authorized_official_first_name": "IRAJ",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "310-518-2697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B39856-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Deodel Ipapo
• James L Ippolito, MA, LMFT
• Shabana P Iqbal X
• Ira David Enterprises LLC
• Iraj Khalkhali, M.D., Inc.
• Amir Iranmahboob, M.D.
• Joana Irazaba
• Irene Malek MD Professional Corporation
• Irene P Leech MD Inc
• Julius Idowu Irumundomon, RCP

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, 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 Aug 22, 2020; 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.