Active NPI
Daraie Dental Group Inc
- General Practice Dentistry
- Tarzana, CA
National Provider Identifier
1831661966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DARAIE DENTAL GROUP INC
- Practice address
- 5620 Wilbur Avenue Ste 300
Tarzana, CA 91356 - Phone
- (310) 616-6816
- Fax
- (818) 708-1396
- NPI assigned
- Dec 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaveh Tom Daraie
- Title
- Officer
- Phone
- (310) 616-6816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5620 Wilbur Avenue Ste 300
Tarzana, CA 91356
Mailing address
5620 Wilbur Avenue Ste 300
Tarzana, CA 91356
Phone (310) 616-6816
National Provider Directory
National Provider DirectoryLocations
5620 Wilbur Ave
Ste 300
Tarzana, CA 91356
Phone (310) 616-6816
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Tarzana, CA
- NPI 1598804767
-
- General Practice Dentistry
- Tarzana, CA
- NPI 1114081122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546214400000",
"number": "1831661966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 WILBUR AVENUE STE 300",
"city": "TARZANA",
"state": "CA",
"postal_code": "91356",
"telephone_number": "310-616-6816",
"fax_number": "818-708-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 WILBUR AVENUE STE 300",
"city": "TARZANA",
"state": "CA",
"postal_code": "91356",
"telephone_number": "310-616-6816",
"fax_number": "818-708-1396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARAIE DENTAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-31",
"last_updated": "2018-12-31",
"status": "A",
"authorized_official_last_name": "DARAIE",
"authorized_official_first_name": "KAVEH TOM",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "310-616-6816"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.