NPIMap

Organization Active NPI

Arash Abolfazlian, DDS, MSD, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Ramon, CA
National Provider Identifier
1821404179
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
61500 Issued in CA
Legal business name
ARASH ABOLFAZLIAN, DDS, MSD, INC.
Practice address
111 Deerwood Rd
Suite 390
San Ramon, CA 94583-4409
Phone
(925) 230-2966
Fax
(925) 905-5820
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Dr. Arash Abolfazlian, DDS, MSDNPI 1780011106
Title
President/Owner
Phone
(925) 230-2966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 61500 CA Primary

Addresses

Primary practice location

111 Deerwood Rd
Suite 390
San Ramon, CA 94583-4409

Mailing address

111 Deerwood Rd
Suite 390
San Ramon, CA 94583-4409
Phone (925) 230-2966

National Provider Directory

National Provider Directory

Locations

111 Deerwood Rd
Ste 390
San Ramon, CA 94583
Phone (925) 230-2966

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": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1821404179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD",
            "address_2": "SUITE 390",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834409",
            "telephone_number": "925-230-2966",
            "fax_number": "925-905-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD",
            "address_2": "SUITE 390",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834409",
            "telephone_number": "925-230-2966",
            "fax_number": "925-905-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARASH ABOLFAZLIAN, DDS, MSD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "ABOLFAZLIAN",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "925-230-2966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "61500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.