Foothill Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FOOTHILL DENTAL GROUP

Practice address

22755 Foothill Blvd
Hayward, CA 94541-4207

Phone

(510) 782-4161

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Bobak Shemirani

Title

Owner

Phone

(415) 706-2886

Specialties & licenses 1

Addresses

Practitioners 1

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

• Babak Shemirani

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fremont, CA
  • NPI 1609913813
  NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1467092577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22755 FOOTHILL BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22755 FOOTHILL BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414207",
            "telephone_number": "510-782-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "SHEMIRANI",
        "authorized_official_first_name": "BOBAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-706-2886",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin David Fong, DDS
• Vivian Fong
• Rosalyn Casareno Fontabla, D.M.D
• Genilyn Montevirgen Fontanilla
• Foothill Dental Group
• Chontece Marie Ford
• Nicole Ford
• Sherri Ford
• Natalie A. Forrest, MFT
• Rafael Forrett

• General Practice Dentistry in Hayward, CA
• Providers in Hayward, 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 Jan 7, 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.