Farhad Kiani DDS a Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

59172 Issued in CA

Legal business name

FARHAD KIANI DDS A PROFESSIONAL CORPORATION

Doing business as

Dentist In Green

Practice address

22611 Lake Forest Dr
Suite C-5
Lake Forest, CA 92630-1700

Phone

(949) 777-6688

NPI assigned

Sep 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Farhad Kiani, DDS

Title

President

Phone

(949) 777-6688

Specialties & licenses 1

Addresses

Other names 1

• Dentist In Green Doing business as

Tax ID family

Dentist in Green2 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.

• Farhad Kiani DDS PC

  • Dentist
  • Jackson, CA
  • NPI 1215229802
  NPD tax ID

Locations

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1982073565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22611 LAKE FOREST DR",
            "address_2": "SUITE C-5",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301700",
            "telephone_number": "949-777-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22611 LAKE FOREST DR",
            "address_2": "SUITE C-5",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301700",
            "telephone_number": "949-777-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHAD KIANI DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "KIANI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-777-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentist In Green",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martine Mollin Evans, LMFT
• Mashallah Ezzati, M.D
• Fairfare LLC
• Anthony Familian, SSD
• Farangis Sabeti-Kolahi Chiropractic, Inc.
• Farhad Nikoo Inc
• Bianca Faridian, PHARMD
• Nina Farokhian, NMD
• Mary M Farshidpour, DMD
• Lisa Anne Fasnacht Hill, PHD

• Dentist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.