Organization Active NPI

Movassaghi Dental Coorporation

  • Respite Care
  • Walnut Park, CA
National Provider Identifier
1780946707
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
39189 Issued in CA
Legal business name
MOVASSAGHI DENTAL COORPORATION
Practice address
7700 S Alameda St
Walnut Park, CA 90255-3745
Phone
(323) 585-9200
Fax
(323) 585-9408
NPI assigned
Jun 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Alireza Movassaghi, D.D.S
Title
Owner
Phone
(323) 585-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 39189 CA Primary

Addresses

Primary practice location

7700 S Alameda St
Walnut Park, CA 90255-3745

Mailing address

7700 S Alameda St
Walnut Park, CA 90255-3745
Phone (323) 585-9200

Other identifiers 1

IdentifierTypeStateIssuer
39189MedicaidCA

Other names 1

  • Alameda Dental Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1780946707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 S ALAMEDA ST",
            "city": "WALNUT PARK",
            "state": "CA",
            "postal_code": "902553745",
            "telephone_number": "323-585-9200",
            "fax_number": "323-585-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 S ALAMEDA ST",
            "city": "WALNUT PARK",
            "state": "CA",
            "postal_code": "902553745",
            "telephone_number": "323-585-9200",
            "fax_number": "323-585-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVASSAGHI DENTAL COORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "MOVASSAGHI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-585-9200",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CA",
            "license": "39189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39189",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alameda Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.