Organization Active NPI

Diamond Care Dental

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1821398033
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47201 Issued in CA
Legal business name
DIAMOND CARE DENTAL
Practice address
1300 S. Central Ave.
Glendale, CA 91204
Phone
(818) 245-8410
Fax
(818) 245-8412
NPI assigned
Oct 22, 2010
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Dr. Mohammad Vafadar, D.D.S.
Title
Owner/Dr.
Phone
(818) 245-8410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 47201 CA Primary

Addresses

Primary practice location

1300 S. Central Ave.
Glendale, CA 91204

Mailing address

1300 S. Central Ave.
Glendale, CA 91204
Phone (818) 245-8410

National Provider Directory

National Provider Directory
Tax ID family
Diamond Care Dental2 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": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1821398033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S. CENTRAL AVE.",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-245-8410",
            "fax_number": "818-245-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S. CENTRAL AVE.",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-245-8410",
            "fax_number": "818-245-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND CARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "VAFADAR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER/DR.",
        "authorized_official_telephone_number": "818-245-8410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.