Organization Active NPI

Sohail M. Ebrahimi DDS Inc

  • Dental Clinic/Center
  • Redwood City, CA
National Provider Identifier
1508268558
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOHAIL M. EBRAHIMI DDS INC
Practice address
801 Woodside Rd Ste 3
Redwood City, CA 94061-3751
Phone
(650) 365-4626
Fax
(650) 365-4625
NPI assigned
Sep 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Dr. Sohail M Ebrahimi
Title
DDS
Phone
(650) 365-4626

Specialties & licenses 1

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

Addresses

Primary practice location

801 Woodside Rd Ste 3
Redwood City, CA 94061-3751

Mailing address

801 Woodside Rd Ste 3
Redwood City, CA 94061-3751
Phone (650) 365-4626

Other names 1

  • sohail m. ebrahimi dds inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1508268558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WOODSIDE RD STE 3",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613751",
            "telephone_number": "650-365-4626",
            "fax_number": "650-365-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WOODSIDE RD STE 3",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613751",
            "telephone_number": "650-365-4626",
            "fax_number": "650-365-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHAIL M. EBRAHIMI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMI",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "650-365-4626",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sohail m. ebrahimi dds inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.