Organization Active NPI

Shahram Ameripour DDS Inc.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1629260138
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHAHRAM AMERIPOUR DDS INC.
Practice address
3826 Seven Trees Blvd #300
#300
San Jose, CA 95111
Phone
(408) 363-6464
Fax
(408) 363-6463
NPI assigned
Aug 17, 2007
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SHAHRAM AMERIPOUR DDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Dr. Shahram Ameripour, D.D.SNPI 1669517363
Title
Owner
Phone
(818) 203-4272

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 Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3826 Seven Trees Blvd #300
#300
San Jose, CA 95111

Mailing address

3826 Seven Trees Blvd #300
San Jose, CA 95111
Phone (818) 203-4272

Other identifiers 1

IdentifierTypeStateIssuer
4083636464OtherCA4083636464

Other names 1

  • Shahram Ameripour DDS Former legal business name

National Provider Directory

National Provider Directory
Part of
Shahram Ameripour DDS Inc

Locations

3826 7 Trees Blvd
#300300
San Jose, CA 95111
Phone (408) 363-6464

3826 7 Trees Blvd
Ste 300
San Jose, CA 95111
Phone (408) 363-6464

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1629260138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 SEVEN TREES BLVD #300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95111",
            "telephone_number": "818-203-4272",
            "fax_number": "408-363-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 SEVEN TREES BLVD #300",
            "address_2": "#300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95111",
            "telephone_number": "408-363-6464",
            "fax_number": "408-363-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRAM AMERIPOUR DDS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAHRAM AMERIPOUR DDS",
        "enumeration_date": "2007-08-17",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "AMERIPOUR",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-203-4272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4083636464",
            "identifier": "4083636464",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shahram Ameripour DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Shahram Ameripour DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 30, 2022; 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.