Dr. Nader Tabibzadeh DDS Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41681 Issued in CA

Legal business name

DR. NADER TABIBZADEH DDS DENTAL CORPORATION

Practice address

5460 Dellwood Way
San Jose, CA 95118

Phone

(408) 723-4000

Fax

(408) 723-4013

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nader Tabibzadeh

Title

Owner Dentist

Phone

(408) 723-4000

Specialties & licenses 1

Addresses

Tax ID family

Dr Nader Tabibzadeh DDS Dental Corporation2 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.

• Dr.Nader Tabibzadeh DDS Dental Corporation

  • General Practice Dentistry
  • Gilroy, CA
  • NPI 1457530362
  NPD tax ID

Locations

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1689853582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 DELLWOOD WAY",
            "address_2": "STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95118",
            "telephone_number": "408-723-4000",
            "fax_number": "408-723-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 DELLWOOD WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95118",
            "telephone_number": "408-723-4000",
            "fax_number": "408-723-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NADER TABIBZADEH DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "TABIBZADEH",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "408-723-4000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 4, 2016; 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.