Granada Hills Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40298 Issued in CA

Legal business name

GRANADA HILLS DENTAL GROUP

Practice address

17656 Chatsworth St
Granada Hills, CA 91344-5601

Phone

(818) 363-0200

Fax

(818) 363-2167

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Kamran Rafie, D.D.S

Title

Owner

Phone

(818) 363-0200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1831594779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17656 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445601",
            "telephone_number": "818-363-0200",
            "fax_number": "818-363-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17656 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445601",
            "telephone_number": "818-363-0200",
            "fax_number": "818-363-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANADA HILLS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "RAFIE",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-363-0200",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Granada Hills Home Health Care Inc
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• General Practice Dentistry in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.