Organization Active NPI

Dehghani D M D Dental Corp

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1497280374
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64099 Issued in CA
Legal business name
DEHGHANI D M D DENTAL CORP
Practice address
450 Sutter St
Suite 2500
San Francisco, CA 94108-4206
Phone
(415) 989-3953
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Dr. Siavash Dehghani, DMD
Title
President
Phone
(617) 462-5483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 64099 CA Primary

Addresses

Primary practice location

450 Sutter St
Suite 2500
San Francisco, CA 94108-4206

Mailing address

450 Sutter St
Suite 2500
San Francisco, CA 94108-4206

National Provider Directory

National Provider Directory

Locations

450 Sutter St
Rm 2500
San Francisco, CA 94108
Phone (415) 921-9035

500 E Remington Dr
Ste 23
Sunnyvale, CA 94087
Phone (408) 730-1544

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1497280374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST",
            "address_2": "SUITE 2500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST",
            "address_2": "SUITE 2500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084206",
            "telephone_number": "415-989-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEHGHANI D M D DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "DEHGHANI",
        "authorized_official_first_name": "SIAVASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-462-5483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.