Active NPI
N. Boloorchi D.D.S. Inc.
- Dentist
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- N. BOLOORCHI D.D.S. INC.
- Practice address
- 1800 San Miguel Dr
Walnut Creek, CA 94596-8606 - Phone
- (925) 518-3350
- NPI assigned
- Nov 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Negar Boloorchi, DDS
- Title
- Dentist Anesthesiolgist
- Phone
- (626) 354-1440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1800 San Miguel Dr
Walnut Creek, CA 94596-8606
Mailing address
17 Captains CV
Oakland, CA 94618-2311
Phone (626) 354-1440
Other practice location 1
17 Captains Cv
Oakland, CA 94618-2311
Phone (626) 354-1440
Other practice location 2
2213 Buchanan Rd
Antioch, CA 94509-4265
Phone (626) 354-1440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619126943 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.drnikidds.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
2213 Buchanan Rd
Antioch, CA 94509
Phone (626) 354-1440
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Walnut Creek, CA
- NPI 1619126943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629936000000",
"number": "1942802285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CAPTAINS CV",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946182311",
"telephone_number": "626-354-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SAN MIGUEL DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945968606",
"telephone_number": "925-518-3350"
}
],
"practiceLocations": [
{
"address_1": "17 Captains Cv",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946182311",
"country_code": "US",
"telephone_number": "626-354-1440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2213 Buchanan Rd",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "CA",
"postal_code": "945094265",
"country_code": "US",
"telephone_number": "626-354-1440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "N. BOLOORCHI D.D.S. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-11",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A",
"authorized_official_last_name": "BOLOORCHI",
"authorized_official_first_name": "NEGAR",
"authorized_official_title_or_position": "DENTIST ANESTHESIOLGIST",
"authorized_official_telephone_number": "626-354-1440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619126943",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.drnikidds.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1800 San Miguel Dr",
"city": "Walnut Creek",
"state": "CA",
"country_code": "US",
"postal_code": "945968606",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.