Donald L Iman DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

30538 Issued in CA

Legal business name

DONALD L IMAN DDS INC.

Practice address

23470 Olive Wood Plaza Dr Ste 170
Moreno Valley, CA 92553-5267

Phone

(951) 242-8426

Fax

(951) 242-5639

NPI assigned

Aug 11, 2014

Organization subpart

Yes

Parent organization

DONALD L IMAN DDS INC.As reported in NPPES

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

Authorized official

Name

Dr. Donald Lee Iman, DDSNPI 1447358833

Title

Owner/ Ceo

Phone

(951) 283-4626

Specialties & licenses 1

Addresses

Part of

Hemet Dental Clinic

Locations

Practitioners 1

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

• Donald Lee Iman, DDS

  • General Practice Dentistry
  • Moreno Valley, CA
  • NPI 1447358833
  NPD (past) Authorized official

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1962811349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23470 OLIVE WOOD PLAZA DR STE 170",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535267",
            "telephone_number": "951-242-8426",
            "fax_number": "951-242-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23470 OLIVE WOOD PLAZA DR STE 170",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535267",
            "telephone_number": "951-242-8426",
            "fax_number": "951-242-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L IMAN DDS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DONALD L IMAN DDS INC.",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "IMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "951-283-4626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "30538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Dollison
• Andrea Alejandra Dominguez, RD
• Johnny Gabriel Dominguez
• Roberto Dominicci Rodriguez, PPS
• Don Schubothe Dental, Inc.
• William Donald, RN, EMT-P, ATC
• Livia Anastasia Donets, PA-C
• Dong S. Kim, M.D., Inc
• David K Dong, M.D.
• Misook Doo, ACUPUNCTURIST

• Dental Clinic/Center in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.