Organization Active NPI

Naz Dental Corporation

  • General Practice Dentistry
  • San Pablo, CA
National Provider Identifier
1558723122
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52139 Issued in CA
Legal business name
NAZ DENTAL CORPORATION
Doing business as
Angels Dentistry
Practice address
2948 Hilltop Mall Rd
San Pablo, CA 94806-1902
Phone
(510) 223-5676
Fax
(510) 223-8719
NPI assigned
Mar 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Omera Naz
Title
President
Phone
(510) 223-5676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52139 CA Primary

Addresses

Primary practice location

2948 Hilltop Mall Rd
San Pablo, CA 94806-1902

Mailing address

2948 Hilltop Mall Rd
San Pablo, CA 94806-1902
Phone (510) 223-5676

Other names 1

  • Angels Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2948 Hilltop Mall Rd
San Pablo, CA 94806
Phone (510) 223-5676

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1558723122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2948 HILLTOP MALL RD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948061902",
            "telephone_number": "510-223-5676",
            "fax_number": "510-223-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2948 HILLTOP MALL RD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948061902",
            "telephone_number": "510-223-5676",
            "fax_number": "510-223-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "NAZ",
        "authorized_official_first_name": "OMERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-223-5676"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.