Ebrahimian & Ebrahimian Inc

Primary specialty

DentistTaxonomy code 122300000X

License

28542 Issued in CA

Legal business name

EBRAHIMIAN & EBRAHIMIAN INC

Doing business as

Ebrahimian Integrative Dentistry

Practice address

5 Erba LN Ste a
Scotts Valley, CA 95066-4160

Phone

(831) 438-4411

Fax

(831) 438-1323

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Max Ebrahimian, DDS

Title

Owner

Phone

(831) 438-4411

Specialties & licenses 2

Addresses

Other names 1

• Ebrahimian Integrative Dentistry Doing business as

Locations

Practitioners 1

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

• Ariana Ebrahimian, D.D.S.

  • Dentist
  • Scotts Valley, CA
  • NPI 1295035848
  NPD (past)

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1548535123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ERBA LN STE A",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664160",
            "telephone_number": "831-438-4411",
            "fax_number": "831-438-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ERBA LN STE A",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664160",
            "telephone_number": "831-438-4411",
            "fax_number": "831-438-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBRAHIMIAN & EBRAHIMIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMIAN",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-438-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "28542",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "28543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebrahimian Integrative Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kansie Imogene Disney
• Cassandra Marie Dobrev, IBCLC, RN
• Dr Srujal H Shah DDS Inc
• Victoria Ellen Durkan
• Reanne Eames
• Ebrahimian Dental Group
• Ariana Ebrahimian, D.D.S.
• Max Ebrahimian, D.D.S.
• Shamara Edwards
• Donelle Ehritt, M.A

• Dentist in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Dentist in California

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

Verify at the official NPI Registry.