NPIMap

Organization Active NPI

Nikjoo DDS Inc.

  • Dental Clinic/Center
  • Rialto, CA
National Provider Identifier
1861139719
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NIKJOO DDS INC.
Practice address
941 W Foothill Blvd
Rialto, CA 92376-4740
Phone
(909) 820-5062
NPI assigned
May 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Dr. Ebi Nikjoo, DDS
Title
Owner
Phone
(909) 820-5062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

941 W Foothill Blvd
Rialto, CA 92376-4740

Mailing address

941 W Foothill Blvd
Rialto, CA 92376-4740
Phone (909) 820-5062

Other names 2

  • Ebi Nikjoo Dental Corp Former legal business name
  • NIKJOO DDS INC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL RIALTO Direct

National Provider Directory

National Provider Directory
Tax ID family
Nikjoo DDS Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

941 W Foothill Blvd
Rialto, CA 92376
Phone (909) 820-5062

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1861139719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 W FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764740",
            "telephone_number": "909-820-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 W FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764740",
            "telephone_number": "909-820-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKJOO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "NIKJOO",
        "authorized_official_first_name": "EBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-820-5062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RIALTO",
            "affiliation": "N",
            "endpointDescription": "RIVERSIDE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "941 W Foothill Blvd",
            "city": "Rialto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923764740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ebi Nikjoo Dental Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NIKJOO DDS INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.