Individual provider Active NPI

Arezoo Heshmati I

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1598315384
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS102747 Issued in CA
Practice address
1155 N Capitol Ave Ste 160
San Jose, CA 95132-2500
Phone
(408) 272-2720
NPI assigned
Sep 13, 2019
Last updated
Sep 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS102747 CA Primary

Addresses

Primary practice location

1155 N Capitol Ave Ste 160
San Jose, CA 95132-2500

Mailing address

760 Saratoga Ave Apt Z203
San Jose, CA 95129-2436

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL HIE
Other URL CDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS102747CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alan M Alvarez DDS, Inc. PastSince Sep 15, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1598315384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SARATOGA AVE APT Z203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N CAPITOL AVE STE 160",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322500",
            "telephone_number": "408-272-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESHMATI",
        "first_name": "AREZOO",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "address_1": "1155 N Capitol Ave Ste 160",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951322500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CDC",
            "affiliation": "N",
            "address_1": "1155 N Capitol Ave Ste 160",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951322500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.