Organization Active NPI

Taraporewalla Dental Corporation

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1760120810
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TARAPOREWALLA DENTAL CORPORATION
Practice address
4585 College Ave Ste B
San Diego, CA 92115-4011
Phone
(619) 398-0624
Fax
(619) 399-3714
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Rishaad Taraporewalla, DMD
Title
Owner
Phone
(619) 398-0624

Specialties & licenses 1

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

Addresses

Primary practice location

4585 College Ave Ste B
San Diego, CA 92115-4011

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890

Other names 1

  • College Avenue Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4585 College Ave
Ste B
San Diego, CA 92115
Phone (619) 398-0624

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": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1760120810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 COLLEGE AVE STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154011",
            "telephone_number": "619-398-0624",
            "fax_number": "619-399-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARAPOREWALLA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "TARAPOREWALLA",
        "authorized_official_first_name": "RISHAAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-398-0624",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Avenue 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 May 26, 2022; 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.