Organization Active NPI

Belva Dental

  • General Practice Dentistry
  • Daly City, CA
National Provider Identifier
1639297609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49007 Issued in CA
Legal business name
BELVA DENTAL
Practice address
66 San Pedro Rd Ste B
Daly City, CA 94014-2577
Phone
(650) 756-4388
Fax
(650) 756-9271
NPI assigned
Mar 27, 2007
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. Sharareh Tajbakhsh, DDS
Title
President
Phone
(650) 756-4388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49007 CA Primary

Addresses

Primary practice location

66 San Pedro Rd Ste B
Daly City, CA 94014-2577

Mailing address

66 San Pedro Rd Ste B
Daly City, CA 94014-2577
Phone (650) 756-4388

National Provider Directory

National Provider Directory

Locations

66 San Pedro Rd
Ste B
Daly City, CA 94014
Phone (650) 756-4388

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639297609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SAN PEDRO RD STE B",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142577",
            "telephone_number": "650-756-4388",
            "fax_number": "650-756-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SAN PEDRO RD STE B",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142577",
            "telephone_number": "650-756-4388",
            "fax_number": "650-756-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELVA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAJBAKHSH",
        "authorized_official_first_name": "SHARAREH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-756-4388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, 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.