Irene Nosrati, DDS, and Erez Nosrati, DMD, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

65156 Issued in CA

Legal business name

IRENE NOSRATI, DDS, AND EREZ NOSRATI, DMD, INC.

Practice address

525 Nautilus St
La Jolla, CA 92037-6139

Phone

(317) 507-9033

NPI assigned

Mar 16, 2018

Last updated

Mar 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Irene Nosrati, DDSNPI 1477834307

Title

President

Phone

(317) 507-9033

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Irene Nosrati, D.D.S.

  • General Practice Dentistry
  • South Elgin, IL
  • NPI 1477834307
  NPD (past) Authorized official

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1659874568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 PEARLMAN WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303715",
            "telephone_number": "317-507-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 NAUTILUS ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376139",
            "telephone_number": "317-507-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE NOSRATI, DDS, AND EREZ NOSRATI, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "NOSRATI",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-507-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65156",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "100669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Cardiovascular Center of la Jolla
• International Center for Behavioral Health
• Intrinsic Life Sciences
• Jillian Inumerable, ATC
• Rama Inza, LMT
• Heidi H Irwin, MSN
• Paul T Ishimine, MD
• Kevin M Ishioka, M.D
• Christian Michael Iuteri
• J Zeidan, DMD Inc.

• General Practice Dentistry in La Jolla, CA
• Providers in La Jolla, CA by specialty
• General Practice Dentistry in California

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