NPIMap

Organization Active NPI

Radmanesh Dental Professional Corporation

  • Dental Clinic/Center
  • West Covina, CA
National Provider Identifier
1902672777
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RADMANESH DENTAL PROFESSIONAL CORPORATION
Practice address
148 N Grand Ave
West Covina, CA 91791-1728
Phone
(626) 858-3305
NPI assigned
Dec 1, 2023
Organization subpart
Yes
Parent organization
RADMANESH DENTAL PROFESSIONAL ORGANIZATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Parham Radmanesh
Title
Owner
Phone
(626) 858-3305

Specialties & licenses 1

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

Addresses

Primary practice location

148 N Grand Ave
West Covina, CA 91791-1728

Mailing address

148 N Grand Ave
West Covina, CA 91791-1728
Phone (626) 858-3305

Other names 1

  • Harmony Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Radmanesh Dental Professional Corporation5 organizations share this tax ID, including this one
Part of
Radmanesh Dental Professional Corporation

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1902672777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 N GRAND AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911728",
            "telephone_number": "626-858-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N GRAND AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911728",
            "telephone_number": "626-858-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADMANESH DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADMANESH DENTAL PROFESSIONAL ORGANIZATION",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "RADMANESH",
        "authorized_official_first_name": "PARHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-858-3305"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.