Niknam Refahi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

58331 Issued in CA

Practice address

4320 Genesee Ave Ste 106
San Diego, CA 92117-4900

Phone

(858) 483-3384

Fax

(858) 368-8566

NPI assigned

Jul 11, 2007

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Refahi DDS Professional Corporation

  dba True Design Dentistry

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1093498727
  NPD Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1578761557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 GENESEE AVE STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174900",
            "telephone_number": "410-336-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 GENESEE AVE STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174900",
            "telephone_number": "858-483-3384",
            "fax_number": "858-368-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFAHI",
        "first_name": "NIKNAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Marcel Reeves, IDC
• Ryan Robert Reeves, MD
• William J Reeves, PA-C
• Refahi DDS Professional Corporation (True Design Dentistry)
• Marjan Refahi, PHARM D
• Reform Spine & Wellness Ly Chiropractic Corporation
• Refresh Recovery LLC
• Felix Matthew Regala, PA-C
• Sidjonn Regala, DPT
• Daniela Regalado

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.