Prater Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

061814 Issued in CA

Legal business name

PRATER DENTAL CORPORATION

Practice address

1040 Tierra del Rey Ste 203
Chula Vista, CA 91910-7865

Phone

(619) 421-8742

Fax

(619) 872-0717

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Shahrzad Prater, D.M.D.NPI 1912164468

Title

President

Phone

(619) 421-8742

Specialties & licenses 1

Addresses

Other names 1

• Rancho Del Rey Orthodontics Doing business as

Locations

Practitioners 1

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

• Shahrzad Prater, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chula Vista, CA
  • NPI 1912164468
  NPD (past) Authorized official

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1962864884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 TIERRA DEL REY STE 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107865",
            "telephone_number": "619-421-8742",
            "fax_number": "619-872-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 TIERRA DEL REY STE 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107865",
            "telephone_number": "619-421-8742",
            "fax_number": "619-872-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-421-8742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "061814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Del Rey Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pourang Kamali MD Inc
• Ute Powell, RN, PHN
• Amanda Powers, PSYD
• Ravindra Prabhu, M.D.
• Malia Jazmin Prado
• Shahrzad Prater, D.M.D
• Volanda Kay Preacely
• Saul Preciado-Garcia
• Sayeli B Preciado
• Sayra Preciado

• Orthodontics and Dentofacial Orthopedics Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.