Organization Active NPI

Asgari Dental P.C.

Doing business as Kidmazing Dental

  • Pediatric Dentistry
  • San Marcos, CA
National Provider Identifier
1932547049
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
58468 Issued in CA
Legal business name
ASGARI DENTAL P.C.
Doing business as
Kidmazing Dental
Practice address
309 S Rancho Santa Fe Rd
San Marcos, CA 92078-2303
Phone
(760) 744-3333
Fax
(760) 744-3001
NPI assigned
Jun 11, 2013
Last updated
Apr 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Mr. Alireza Pargal
Title
Manager
Phone
(760) 744-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 58468 CA Primary

Addresses

Primary practice location

309 S Rancho Santa Fe Rd
San Marcos, CA 92078-2303

Mailing address

309 S Rancho Santa Fe Rd
San Marcos, CA 92078-2303
Phone (760) 744-3333

Other identifiers 1

IdentifierTypeStateIssuer
D58468OtherCADENTI-CAL RENDERING PROVIDER

Other names 1

  • Kidmazing Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Asgari Dental PC2 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

309 S Rancho Santa Fe Rd
San Marcos, CA 92078
Phone (760) 744-3333

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1932547049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S RANCHO SANTA FE RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782303",
            "telephone_number": "760-744-3333",
            "fax_number": "760-744-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S RANCHO SANTA FE RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782303",
            "telephone_number": "760-744-3333",
            "fax_number": "760-744-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASGARI DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2022-04-29",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "PARGAL",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-744-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL RENDERING PROVIDER",
            "identifier": "D58468",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidmazing Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kidmazing Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.