Active NPI
Ansari Dental Corporation, Inc.
- Dental Clinic/Center
- San Ramon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 59856
- Legal business name
- ANSARI DENTAL CORPORATION, INC.
- Practice address
- 21310 San Ramon Valley Blvd.
2
San Ramon, CA 94583-4000 - Phone
- (925) 828-0824
- Fax
- (925) 828-3426
- NPI assigned
- Dec 14, 2017
- Organization subpart
- Yes
- Parent organization
- MAHSA JABERIANSARI DDS INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mahsa Jaberiansari, DDS
- Title
- Owner
- Phone
- (925) 828-0824
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 59856 | CA | Primary |
Addresses
Primary practice location
21310 San Ramon Valley Blvd.
2
San Ramon, CA 94583-4000
Mailing address
21310 San Ramon Valley Blvd
San Ramon, CA 94583-4066
Phone (925) 828-0824
National Provider Directory
National Provider Directory- Part of
- Mahsa Jaberiansari DDS Inc
Locations
21310 San Ramon Valley Blvd
San Ramon, CA 94583
21310 San Ramon Valley Blvd
Ste 2
San Ramon, CA 94583
Phone (925) 828-0824
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Practice Dentistry
- San Pablo, CA
- NPI 1811363294
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- San Pablo, CA
- NPI 1376852970
-
- Dentist
- Pittsburg, CA
- NPI 1396896197
-
- Dentist
- Tacoma, WA
- NPI 1568940120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513209600000",
"number": "1780190629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21310 SAN RAMON VALLEY BLVD",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834066",
"telephone_number": "925-828-0824",
"fax_number": "925-828-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21310 SAN RAMON VALLEY BLVD.",
"address_2": "2",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834000",
"telephone_number": "925-828-0824",
"fax_number": "925-828-3426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANSARI DENTAL CORPORATION, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAHSA JABERIANSARI DDS INC.",
"enumeration_date": "2017-12-14",
"last_updated": "2017-12-14",
"status": "A",
"authorized_official_last_name": "JABERIANSARI",
"authorized_official_first_name": "MAHSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "925-828-0824",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "59856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.