Alireza Poursayah, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110174 Issued in CA

Practice address

238 E Betteravia Rd Ste D
Santa Maria, CA 93454-7889

Phone

(805) 242-4881

NPI assigned

Jun 17, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1790528750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 DAVIDSON RD APT 136",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548109",
            "telephone_number": "862-621-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 E BETTERAVIA RD STE D",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547889",
            "telephone_number": "805-242-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURSAYAH",
        "first_name": "ALIREZA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Elizabeth Portillo
• Chelsea Eismann Potter, RD
• Keela Noelle Potter
• Matthew Edwards Potter
• Cinthia Poulis
• Jermaine Powell
• Kirstyn Elizabeth Powell, MD
• Penni Powell
• Shannon Lee Power
• Sean Powers, PA

• General Practice Dentistry in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.