Siavash Dehghani D.M.D. Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64099 Issued in CA

Legal business name

SIAVASH DEHGHANI D.M.D. DENTAL CORP.

Practice address

14465 S Bascom Ave
K
Los Gatos, CA 95032

Phone

(408) 371-1070

NPI assigned

Jan 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Siavash Dehghani, DMD

Title

President

Phone

(617) 462-5483

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1689181745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST",
            "address_2": "2500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14465 S BASCOM AVE",
            "address_2": "K",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-371-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIAVASH DEHGHANI D.M.D. DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "DEHGHANI",
        "authorized_official_first_name": "SIAVASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-462-5483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George L. Shoptaw, M.D.
• Danielle Joy Shotwell, DPT
• Ayushi Shrestha
• Carolynn Vuong Shultz, DMD
• Hogan H. Shy, MD
• Denise Siazon
• Daniela Sibley
• Jack Siegel
• Lynda Siemon, ND
• Donald C Silcox, M.D.

• General Practice Dentistry in Los Gatos, CA
• Providers in Los Gatos, 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 Jan 10, 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.