Azadeh Hosseini DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AZADEH HOSSEINI DDS INC

Practice address

1500 Tara Hills Dr Ste 104
Pinole, CA 94564-2526

Phone

(510) 552-9118

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Azadeh Hosseini, DDS

Title

President

Phone

(510) 552-9118

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1780155655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 TARA HILLS DR STE 104",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TARA HILLS DR STE 104",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642526",
            "telephone_number": "510-552-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZADEH HOSSEINI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "HOSSEINI",
        "authorized_official_first_name": "AZADEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-552-9118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Pinole, CA
• Providers in Pinole, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.