Organization Active NPI

Ali Shahzad- Ghajar DDS Inc

  • Dentist
  • Ontario, CA
National Provider Identifier
1801038252
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42417 Issued in CA
Legal business name
ALI SHAHZAD- GHAJAR DDS INC
Practice address
1361 E 4TH St
Ontario, CA 91764-3035
Phone
(909) 933-3531
Fax
(909) 933-3533
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Dr. Ali Shahzad Ghajar, DDS
Title
Owner
Phone
(909) 933-3531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 42417 CA Primary

Addresses

Primary practice location

1361 E 4TH St
Ontario, CA 91764-3035

Mailing address

1361 E 4TH St
Ontario, CA 91764-3035
Phone (909) 933-3531

National Provider Directory

National Provider Directory

Locations

1361 E 4th St
Ontario, CA 91764
Phone (909) 933-3531

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1801038252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 E 4TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643035",
            "telephone_number": "909-933-3531",
            "fax_number": "909-933-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 E 4TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643035",
            "telephone_number": "909-933-3531",
            "fax_number": "909-933-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI SHAHZAD- GHAJAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "SHAHZAD GHAJAR",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-933-3531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.