R Malekzadeh, D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

54814 Issued in CA

Legal business name

R MALEKZADEH, D.D.S., INC.

Practice address

5722 Telephone Rd
Suite#4
Ventura, CA 93003-5318

Phone

(805) 804-5383

NPI assigned

Jul 23, 2013

Last updated

Jul 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reza Malekzadeh, D.D.S.NPI 1750573366

Title

President

Phone

(805) 804-5383

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reza Malekzadeh

  • General Practice Dentistry
  • North Hills, CA
  • NPI 1750573366
  NPD (past) Authorized official

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1821430588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 TELEPHONE RD",
            "address_2": "SUITE#4",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035318",
            "telephone_number": "805-804-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 TELEPHONE RD",
            "address_2": "SUITE#4",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035318",
            "telephone_number": "805-804-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R MALEKZADEH, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "MALEKZADEH",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-804-5383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Ventura, CA
• Providers in Ventura, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.