Organization Active NPI

Vafi Ahani Dental Corp

  • Dentist
  • San Mateo, CA
National Provider Identifier
1720462138
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42967 Issued in CA
Legal business name
VAFI AHANI DENTAL CORP
Practice address
150 N San Mateo Dr
San Mateo, CA 94401-2761
Phone
(650) 524-4855
Fax
(650) 524-4859
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Dr. Hessam Ahani, DDS
Title
Ceo
Phone
(650) 524-4855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 42967 CA Primary

Addresses

Primary practice location

150 N San Mateo Dr
San Mateo, CA 94401-2761

Mailing address

150 N San Mateo Dr
San Mateo, CA 94401-2761
Phone (650) 524-4855

Other names 1

  • Shoreview Dental San Mateo Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1720462138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012761",
            "telephone_number": "650-524-4855",
            "fax_number": "650-524-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012761",
            "telephone_number": "650-524-4855",
            "fax_number": "650-524-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAFI AHANI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "AHANI",
        "authorized_official_first_name": "HESSAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-524-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreview Dental San Mateo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.