NPIMap

Organization Active NPI

R K Nassiri, DDS, MSD, Inc

  • Dental Clinic/Center
  • Lafayette, CA
National Provider Identifier
1871034397
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54020 Issued in CA
Legal business name
R K NASSIRI, DDS, MSD, INC
Practice address
3466 Mt Diablo Blvd
Suite C207
Lafayette, CA 94549-7106
Phone
(925) 298-5281
Fax
(925) 298-5419
NPI assigned
Mar 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Dr. Ramtin Nassiri, D.D.S., M.S.D.
Title
President
Phone
(925) 298-5281

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 53997 CA
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 55427 CA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 54020 CA
Dental Clinic/Center 261QD0000X 54020 CA Primary

Addresses

Primary practice location

3466 Mt Diablo Blvd
Suite C207
Lafayette, CA 94549-7106

Mailing address

3466 Mt Diablo Blvd
Suite C207
Lafayette, CA 94549-7106
Phone (925) 298-5281

Other identifiers 1

IdentifierTypeStateIssuer
1124121231OtherCAINDIVIDUAL NPI

Other names 1

  • Lamorinda Smile Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1871034397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 MT DIABLO BLVD",
            "address_2": "SUITE C207",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945497106",
            "telephone_number": "925-298-5281",
            "fax_number": "925-298-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 MT DIABLO BLVD",
            "address_2": "SUITE C207",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945497106",
            "telephone_number": "925-298-5281",
            "fax_number": "925-298-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R K NASSIRI, DDS, MSD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "NASSIRI",
        "authorized_official_first_name": "RAMTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-298-5281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53997",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "55427",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "54020",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1124121231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lamorinda Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.