Dara Kimia DMD a Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61127 Issued in CA

Legal business name

DARA KIMIA DMD A DENTAL CORP

Practice address

16605 Devonshire St
Granada Hills, CA 91344-6631

Phone

(480) 619-1415

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Dara KimiaNPI 1295896678

Title

President

Phone

(480) 619-1415

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Dara Kimia, DMD

  • Dentist
  • Granada Hills, CA
  • NPI 1295896678
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1912458423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446631",
            "telephone_number": "480-619-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446631",
            "telephone_number": "480-619-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARA KIMIA DMD A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "KIMIA",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-619-1415"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Cusato, RDHAP
• Mustafa A Dabbagh, DDS
• Youssef Dabbagh
• Rubylynn Domingo Daliva
• Allisa Crystal Daquino, LCSW
• Samvel Darbinyan
• Lana Darghali, PHARMD
• Donna Albert Dasig, RN
• Rian Alyse Davis
• Arpa Davoudian Davoudian

• General Practice Dentistry in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.