NPIMap

Organization Active NPI

F. Moftakhar DDS a Professional Corp.

Doing business as East Bay Family Dentistry

  • Dentist
  • Oakland, CA
National Provider Identifier
1508084799
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
F. MOFTAKHAR DDS A PROFESSIONAL CORP.
Doing business as
East Bay Family Dentistry
Practice address
3040 E 9TH St
Oakland, CA 94601-2938
Phone
(510) 534-0706
Fax
(510) 534-1082
NPI assigned
Apr 23, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Farshad Moftakhar, DDS
Title
Owner / Ceo
Phone
(626) 246-0150

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary
General Practice Dentistry 1223G0001X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

3040 E 9TH St
Oakland, CA 94601-2938

Mailing address

1809 E Eckerman Ave
West Covina, CA 91791-1112

Other names 1

  • East Bay Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Dental Specialty Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3040 E 9th St
Oakland, CA 94601
Phone (415) 441-2476

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1508084799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E ECKERMAN AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E 9TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012938",
            "telephone_number": "510-534-0706",
            "fax_number": "510-534-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. MOFTAKHAR DDS A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MOFTAKHAR",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "626-246-0150",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.