Dr Shabnam Sorooshiani Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR SHABNAM SOROOSHIANI DENTAL CORPORATION

Practice address

1902 N Tracy Blvd
Tracy, CA 95376-2423

Phone

(209) 650-3677

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Shabnam Sorooshiani, DRNPI 1417517657

Title

Owner/Dentist

Phone

(818) 620-1714

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shabnam Sorooshiani, DMD

  • General Practice Dentistry
  • Turlock, CA
  • NPI 1417517657
  NPD Authorized official

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1881264653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762423",
            "telephone_number": "209-650-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762423",
            "telephone_number": "209-650-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHABNAM SOROOSHIANI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "SOROOSHIANI",
        "authorized_official_first_name": "SHABNAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "818-620-1714",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dignitydentaltracy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office email address",
            "address_1": "1902 N Tracy Blvd",
            "city": "Tracy",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953762423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ruiza Dostdar
• Jolene Sharon Doty, PHARM.D., RPH
• Elizabeth Bennett Dowd, NP
• Morghan Oceanna Doyle
• Dr Nirmala Rams Dental Office (Tracy Crown Dental Care)
• Dr Sunil Patel
• Dr. Michael V. Cubie,PH.D. (none)
• Dr. Speed, Inc.
• Sanaa Dredar, PHARM.D.
• Daniel Stephen Drewniak, PHARM.D.

• Dental Clinic/Center in Tracy, CA
• Providers in Tracy, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.