101 Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54634 Issued in CA

Legal business name

101 DENTAL GROUP

Practice address

7259 Owensmouth Ave
Canoga Park, CA 91303-1530

Phone

(818) 999-9900

Fax

(818) 999-9978

NPI assigned

Nov 27, 2013

Organization subpart

No

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

Authorized official

Name

Amir H Choroomi

Title

Dentist

Phone

(818) 735-3800

Specialties & licenses 1

Addresses

Tax ID family

101 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.

• Aaron Choroomi, DDS, Inc

  • General Practice Dentistry
  • Agoura Hills, CA
  • NPI 1235576869
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parvaneh Afrashteh, DDS

  • Dentist
  • Canoga Park, CA
  • NPI 1306966494
  NPD (past)

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1760813802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7259 OWENSMOUTH AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031530",
            "telephone_number": "818-999-9900",
            "fax_number": "818-999-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7259 OWENSMOUTH AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031530",
            "telephone_number": "818-999-9900",
            "fax_number": "818-999-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "101 DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "CHOROOMI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-735-3800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 101 Family Medical Group,a Professional Corp
• 1St Class HME Inc
• 1St Medical Market Inc.
• 22125 Roscoe Corp.
• 24-7 Caregivers Registry Inc

• All providers in Canoga Park, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.