Kabiri Premier Dental Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

100543 Issued in CA

Legal business name

KABIRI PREMIER DENTAL INC.

Practice address

425 Estudillo Ave Ste B
San Leandro, CA 94577-4906

Phone

(510) 969-8510

Fax

(510) 878-2690

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Azita Kabiri, D.D.S.NPI 1174073704

Title

President

Phone

(925) 206-0735

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kabiri Premier Dental Inc Doing business as

Practitioners 2

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

• Azita Kabiri, D.D.S

  • Dentist
  • Pleasanton, CA
  • NPI 1174073704
  NPD (past) Authorized official
• Dina Moustafa Sobhi Hammouda, DDS, MSD

  • Dentist
  • San Leandro, CA
  • NPI 1144699471
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1659808624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 DIAVILA AVE",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888373",
            "telephone_number": "925-206-0735",
            "fax_number": "510-878-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ESTUDILLO AVE STE B",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774906",
            "telephone_number": "510-969-8510",
            "fax_number": "510-878-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABIRI PREMIER DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KABIRI",
        "authorized_official_first_name": "AZITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-206-0735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "100543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053867622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kabiri Premier Dental Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Han A Jung
• Paula Junn
• Justin Junus, DO
• Whitney Justin II
• K Whitaker Inc
• Kabogo Gitau
• Ruth Kadel
• Alina Kagan
• Amy Berit Kahn, LCSW
• Tera Kaholoaa-Moody

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.