Active NPI
Nikjoo DDS Inc.
- Dental Clinic/Center
- Palm Desert, CA
National Provider Identifier
1649988445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- NIKJOO DDS INC.
- Doing business as
- Nikjoo DDS Inc.
- Practice address
- 72210 California 111 # E1
Palm Desert, CA 92260 - Phone
- (760) 773-2111
- NPI assigned
- Nov 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ebi D Nikjoo, DDS
- Title
- Dentist
- Phone
- (760) 773-2111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
72210 California 111 # E1
Palm Desert, CA 92260
Mailing address
72210 California 111 # E1
Palm Desert, CA 92260
Phone (760) 773-2111
Other names 1
- NIKJOO DDS INC.
National Provider Directory
National Provider Directory- Tax ID family
- Nikjoo DDS Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Anaheim, CA
- NPI 1093423204
-
- Dental Clinic/Center
- Downey, CA
- NPI 1609526599
-
- Dental Clinic/Center
- Rialto, CA
- NPI 1861139719
Locations
72210 Highway 111
Ste E-1
Palm Desert, CA 92260
Phone (442) 274-8123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668038400000",
"number": "1649988445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72210 CALIFORNIA 111 # E1",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-773-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72210 CALIFORNIA 111 # E1",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-773-2111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIKJOO DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-10",
"last_updated": "2022-11-10",
"certification_date": "2022-11-08",
"status": "A",
"authorized_official_last_name": "NIKJOO",
"authorized_official_first_name": "EBI",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "760-773-2111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NIKJOO DDS INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.