NPIMap

Organization Active NPI

Amir Radpour DDS Inc

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1609936673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48355 Issued in CA
Legal business name
AMIR RADPOUR DDS INC
Practice address
200 N Jackson Ave Ste B
San Jose, CA 95116-1601
Phone
(408) 251-8851
Fax
(408) 251-8338
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amir Radpour, D.D.S.NPI 1366616823
Title
Provider
Phone
(408) 251-8851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48355 CA Primary

Addresses

Primary practice location

200 N Jackson Ave Ste B
San Jose, CA 95116-1601

Mailing address

200 N Jackson Ave Ste B
San Jose, CA 95116-1601

National Provider Directory

National Provider Directory

Locations

200 N Jackson Ave
Ste B
San Jose, CA 95116
Phone (408) 251-8851

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609936673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N JACKSON AVE STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N JACKSON AVE STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161601",
            "telephone_number": "408-251-8851",
            "fax_number": "408-251-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR RADPOUR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADPOUR",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "408-251-8851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 22, 2020; 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.