Individual provider Active NPI

Jim Ghafourpour, DDS

  • General Practice Dentistry
  • Foster City, CA
National Provider Identifier
1831237445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD34703 Issued in CA
Practice address
1291 E Hillsdale Blvd Ste 110
Foster City, CA 94404-1293
Phone
(650) 574-3611
Fax
(650) 574-1764
NPI assigned
Feb 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DD34703 CA Primary

Addresses

Primary practice location

1291 E Hillsdale Blvd Ste 110
Foster City, CA 94404-1293

Mailing address

1291 E Hillsdale Blvd Ste 110
Foster City, CA 94404-1293
Phone (650) 574-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DD34703CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831237445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 E HILLSDALE BLVD STE 110",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041293",
            "telephone_number": "650-574-3611",
            "fax_number": "650-574-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 E HILLSDALE BLVD STE 110",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041293",
            "telephone_number": "650-574-3611",
            "fax_number": "650-574-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFOURPOUR",
        "first_name": "JIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DD34703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foster City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.