NPIMap

Organization Active NPI

Tooth Mobile

  • General Practice Dentistry
  • Santa Clara, CA
National Provider Identifier
1679620140
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38109 Issued in CA
Legal business name
TOOTH MOBILE
Practice address
1659 Scott Blvd # 4
Santa Clara, CA 95050
Phone
(408) 879-0110
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Alireza Parhizkari, D.D.S
Title
Ceo
Phone
(408) 879-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 38109 CA Primary

Addresses

Primary practice location

1659 Scott Blvd # 4
Santa Clara, CA 95050

Mailing address

1659 Scott Blvd Ste 4
Santa Clara, CA 95050-4137
Phone (408) 879-0110

National Provider Directory

National Provider Directory
Tax ID family
Health Mobile2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1679620140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 SCOTT BLVD STE 4",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504137",
            "telephone_number": "408-879-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 SCOTT BLVD # 4",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95050",
            "telephone_number": "408-879-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH MOBILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "PARHIZKARI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-879-0110",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.