Active NPI
Rouhani and Khabbaz Dental Corporation
- General Practice Dentistry
- Pasadena, CA
National Provider Identifier
1497020119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43654
- Legal business name
- ROUHANI AND KHABBAZ DENTAL CORPORATION
- Practice address
- 310 S Lake Ave
Lower Level
Pasadena, CA 91101-3537 - Phone
- (626) 795-6855
- Fax
- (626) 432-4260
- NPI assigned
- Mar 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Morvard Rouhani, D.D.S.
- Title
- Owner
- Phone
- (626) 795-6855
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 43654 | CA | |
| General Practice Dentistry | 1223G0001X | 43654 | CA | Primary |
| Pediatric Dentistry | 1223P0221X | 43654 | CA | |
| Periodontics | 1223P0300X | 43654 | CA | |
| Prosthodontics | 1223P0700X | 43654 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 43654 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 43654 | CA |
Addresses
Primary practice location
310 S Lake Ave
Lower Level
Pasadena, CA 91101-3537
Mailing address
310 S Lake Ave
Lower Level
Pasadena, CA 91101-3537
Phone (626) 795-6855
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pasadena, CA
- NPI 1396883237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1497020119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S LAKE AVE",
"address_2": "LOWER LEVEL",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013537",
"telephone_number": "626-795-6855",
"fax_number": "626-432-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S LAKE AVE",
"address_2": "LOWER LEVEL",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013537",
"telephone_number": "626-795-6855",
"fax_number": "626-432-4260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROUHANI AND KHABBAZ DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "ROUHANI",
"authorized_official_first_name": "MORVARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-795-6855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "43654",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43654",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "43654",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "43654",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "43654",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "43654",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "43654",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.