Organization Active NPI

K. Ardjmand, D.D.S., Inc.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1689708380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38248 Issued in CA
Legal business name
K. ARDJMAND, D.D.S., INC.
Practice address
4765 Carmel Mountain Rd
Suite 208
San Diego, CA 92130-6657
Phone
(858) 259-4765
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kambiz Ardjmand, D.D.S.
Title
Dentist
Phone
(858) 259-4765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 38248 CA Primary

Addresses

Primary practice location

4765 Carmel Mountain Rd
Suite 208
San Diego, CA 92130-6657

Mailing address

4765 Carmel Mountain Rd
Suite 208
San Diego, CA 92130-6657
Phone (858) 259-4765

Other names 1

  • modern dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4765 Carmel Mountain Rd
Ste 208
San Diego, CA 92130
Phone (858) 259-4765

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689708380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 CARMEL MOUNTAIN RD",
            "address_2": "SUITE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306657",
            "telephone_number": "858-259-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 CARMEL MOUNTAIN RD",
            "address_2": "SUITE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306657",
            "telephone_number": "858-259-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. ARDJMAND, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARDJMAND",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "858-259-4765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "modern dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.