Organization Active NPI

Dr a Daneshvar DDS Inc

  • Public Health Dentistry
  • Palm Desert, CA
National Provider Identifier
1962364216
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
DR A DANESHVAR DDS INC
Practice address
77564 Country Club Dr Ste 350
Palm Desert, CA 92211-0450
Phone
(760) 772-7082
Fax
(760) 772-7085
NPI assigned
Nov 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Dr. Avideh Daneshvar Mozafari, DDS
Title
Owner/ DDS
Phone
(760) 772-7082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

77564 Country Club Dr Ste 350
Palm Desert, CA 92211-0450

Mailing address

77564 Country Club Dr Ste 350
Palm Desert, CA 92211-0450
Phone (720) 772-7082

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1962364216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 350",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110450",
            "telephone_number": "720-772-7082",
            "fax_number": "760-772-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 350",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110450",
            "telephone_number": "760-772-7082",
            "fax_number": "760-772-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR A DANESHVAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "DANESHVAR MOZAFARI",
        "authorized_official_first_name": "AVIDEH",
        "authorized_official_title_or_position": "OWNER/ DDS",
        "authorized_official_telephone_number": "760-772-7082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.