Active NPI
K. Ardjmand, D.D.S., Inc.
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1689708380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38248
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- San Diego, CA
- NPI 1740563253
-
- General Practice Dentistry
- San Diego, CA
- NPI 1336494392
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.