Ghanouni Yashari Dental Corp

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GHANOUNI YASHARI DENTAL CORP

Practice address

1737 Professional Dr
Sacramento, CA 95825

Phone

(916) 545-5373

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Sepand Ghanouni, DDS

Title

Chief Financial Officer

Phone

(916) 545-5373

Specialties & licenses 1

Addresses

Other names 1

• Sacramento Braces and Wisdom Teeth Doing business as

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1740011121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 PROFESSIONAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-545-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 PROFESSIONAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-545-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHANOUNI YASHARI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "GHANOUNI",
        "authorized_official_first_name": "SEPAND",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "916-545-5373",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento Braces and Wisdom Teeth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fatemeh Shirin Ghaheri, M.D.
• Masoud Ghalambor, M.D.
• Tara Jasmine Ghalambor, MD
• Tania Maria Ghalayini, PHARMD
• Nabil Ghani, M.D.
• James Gharbaoui, MD
• Ahmadreza Ghasemiesfe, M.D
• Azad Ghassemi, M.D
• Sofiya Ghazaryan
• GHC of Sac - SNF LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.