Organization Active NPI

Ansari Dental Corporation, Inc.

  • Dental Clinic/Center
  • San Ramon, CA
National Provider Identifier
1780190629
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
59856 Issued in CA
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Authorized official

Name
Mahsa Jaberiansari, DDSNPI 1376852970
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)CodeLicenseStatePrimary
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.

Practitioners & affiliated clinicians

Practitioners 3

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": "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.

Verify at the official NPI Registry.