NPIMap

Organization Active NPI

Pourshirazi Dental Corporation

  • General Practice Dentistry
  • Murrieta, CA
National Provider Identifier
1801937230
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44064 Issued in CA
Legal business name
POURSHIRAZI DENTAL CORPORATION
Practice address
23771 Washington Ave # H-102
Murrieta, CA 92562-2265
Phone
(951) 691-5096
Fax
(951) 691-5097
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Homayoun Pourshirazi
Title
Doctor
Phone
(951) 691-5096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44064 CA Primary

Addresses

Primary practice location

23771 Washington Ave # H-102
Murrieta, CA 92562-2265

Mailing address

23771 Washington Ave # H-102
Murrieta, CA 92562-2265
Phone (951) 691-5096

Other names 1

  • Copper Canyon Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All Kids Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801937230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23771 WASHINGTON AVE # H-102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622265",
            "telephone_number": "951-691-5096",
            "fax_number": "951-691-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23771 WASHINGTON AVE # H-102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622265",
            "telephone_number": "951-691-5096",
            "fax_number": "951-691-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POURSHIRAZI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POURSHIRAZI",
        "authorized_official_first_name": "HOMAYOUN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "951-691-5096",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Canyon Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.