Avanti Dental Group Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AVANTI DENTAL GROUP INC

Practice address

5415 Camden Ave
35
San Jose, CA 95124-5827

Phone

(408) 266-4100

Fax

(408) 266-4100

NPI assigned

Aug 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Manijeh Shayesteh

Title

President/Dentist

Phone

(408) 266-4100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1659504744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 CAMDEN AVE",
            "address_2": "STE#35",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245827",
            "telephone_number": "408-266-4100",
            "fax_number": "408-266-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 CAMDEN AVE",
            "address_2": "35",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245827",
            "telephone_number": "408-266-4100",
            "fax_number": "408-266-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTI DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "SHAYESTEH",
        "authorized_official_first_name": "MANIJEH",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "408-266-4100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.