NPIMap

Organization Active NPI

Joseph a Foroosh Dental Corp

Doing business as Desert Dental Group

  • General Practice Dentistry
  • Hesperia, CA
National Provider Identifier
1720039050
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28643 Issued in CA
Legal business name
JOSEPH A FOROOSH DENTAL CORP
Doing business as
Desert Dental Group
Practice address
15209 Bear Valley Rd
Suite B
Hesperia, CA 92345-1610
Phone
(760) 241-1666
Fax
(760) 948-0126
NPI assigned
May 12, 2006
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. Joseph A Foroosh, DMD
Title
Owner
Phone
(760) 241-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 28643 CA Primary

Addresses

Primary practice location

15209 Bear Valley Rd
Suite B
Hesperia, CA 92345-1610

Mailing address

15209 Bear Valley Rd
Suite B
Hesperia, CA 92345-1610
Phone (760) 241-1666

Other identifiers 1

IdentifierTypeStateIssuer
G9170805OtherCADENTI-CAL

Other names 1

  • Desert Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desert Dental Group5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

15209 Bear Valley Rd
Ste B
Hesperia, CA 92345
Phone (760) 241-1666

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720039050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15209 BEAR VALLEY RD",
            "address_2": "SUITE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451610",
            "telephone_number": "760-241-1666",
            "fax_number": "760-948-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15209 BEAR VALLEY RD",
            "address_2": "SUITE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451610",
            "telephone_number": "760-241-1666",
            "fax_number": "760-948-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A FOROOSH DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOROOSH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-241-3336",
        "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": "28643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G9170805",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hesperia, 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.