Organization Active NPI

Solmaz Forutan, DMD, Inc.

Doing business as Fortune Smiles Dental Care

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1497456370
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOLMAZ FORUTAN, DMD, INC.
Doing business as
Fortune Smiles Dental Care
Practice address
5595 Winfield Blvd Ste 212
San Jose, CA 95123-1220
Phone
(408) 365-7767
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Dr. Solmaz Forutan, DMDNPI 1881248458
Title
President
Phone
(608) 628-7492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5595 Winfield Blvd Ste 212
San Jose, CA 95123-1220

Mailing address

5595 Winfield Blvd Ste 212
San Jose, CA 95123-1220
Phone (408) 365-7767

Other names 1

  • Fortune Smiles Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

5595 Winfield Blvd
Ste 212
San Jose, CA 95123
Phone (408) 365-7767

Practitioners & affiliated clinicians

Practitioners 2

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": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1497456370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 WINFIELD BLVD STE 212",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231220",
            "telephone_number": "408-365-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 WINFIELD BLVD STE 212",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231220",
            "telephone_number": "408-365-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLMAZ FORUTAN, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "FORUTAN",
        "authorized_official_first_name": "SOLMAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-628-7492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortune Smiles Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.