NPIMap

Organization Active NPI

Fardad Borhani DMD Inc

  • General Practice Dentistry
  • Redlands, CA
National Provider Identifier
1881815728
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54068 Issued in CA
Legal business name
FARDAD BORHANI DMD INC
Practice address
1690 Barton Rd
Suite 100
Redlands, CA 92373-7761
Phone
(909) 557-4652
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Fardad Borhani, DMD
Title
President
Phone
(909) 792-8079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54068 CA Primary

Addresses

Primary practice location

1690 Barton Rd
Suite 100
Redlands, CA 92373-7761

Mailing address

1690 Barton Rd
Suite 100
Redlands, CA 92373-7761
Phone (909) 557-4652

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1881815728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 BARTON RD",
            "address_2": "SUITE 100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737761",
            "telephone_number": "909-557-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BARTON RD",
            "address_2": "SUITE 100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737761",
            "telephone_number": "909-557-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARDAD BORHANI DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "BORHANI",
        "authorized_official_first_name": "FARDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-792-8079",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.