NPIMap

Organization Active NPI

Tri-City Dental Excellence

  • Dentist
  • Vista, CA
National Provider Identifier
1871966390
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TRI-CITY DENTAL EXCELLENCE
Practice address
326 S Melrose Dr
Vista, CA 92081-6618
Phone
(760) 216-6886
NPI assigned
Nov 5, 2015
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Arash Rastegar-Panah, DDS
Title
President
Phone
(760) 216-6886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X CA Primary

Addresses

Primary practice location

326 S Melrose Dr
Vista, CA 92081-6618

Mailing address

326 S Melrose Dr
Vista, CA 92081-6618
Phone (760) 216-6886

National Provider Directory

National Provider Directory
Tax ID family
Tri-City Dental Excellence2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

326 S Melrose Dr
Vista, CA 92081
Phone (760) 216-6886

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1871966390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816618",
            "telephone_number": "760-216-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816618",
            "telephone_number": "760-216-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY DENTAL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "RASTEGAR-PANAH",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-216-6886",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.