Pourshirazi Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

44064 Issued in CA

Legal business name

POURSHIRAZI DENTAL CORPORATION

Practice address

27168 Newport Road
Ste 3
Menifee, CA 92584

Phone

(951) 672-9666

NPI assigned

Mar 9, 2011

Organization subpart

No

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

Authorized official

Name

Homayoun Pourshirazi, DMD

Title

President

Phone

(951) 672-9457

Specialties & licenses 1

Addresses

Other names 1

• All Kids Dental Group Doing business as

Tax ID family

All Kids Dental Group2 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.

• Pourshirazi Dental Corporation

  • General Practice Dentistry
  • Murrieta, CA
  • NPI 1801937230
  NPD tax ID

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1760780183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27168 NEWPORT ROAD",
            "address_2": "STE 3",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "951-672-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27168 NEWPORT ROAD",
            "address_2": "STE 3",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "951-672-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POURSHIRAZI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "POURSHIRAZI",
        "authorized_official_first_name": "HOMAYOUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-672-9457",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Kids Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elisha Porter
• Amber Portman, LVN
• Portsmouth Senior Home LLC
• Poulsen Dental Corporation
• Kyle Douglass Poulsen, D.D.S.
• Homayoun Pourshirazi, D.M.D.
• Andrea Powell
• Jeremy Taylor Powers, DMD
• Radha Prasad
• Stephanie Pratt

• Dentist in Menifee, CA
• Providers in Menifee, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.