NPIMap

Organization Active NPI

Soudabeh Sharafi DMD Inc.

  • Pediatric Dentistry
  • Escondido, CA
National Provider Identifier
1982081071
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
52929 Issued in CA
Legal business name
SOUDABEH SHARAFI DMD INC.
Practice address
2367 E Valley Pkwy
Escondido, CA 92027-2715
Phone
(760) 291-1700
Fax
(760) 291-1717
NPI assigned
Apr 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Dr. Soudabeh Sharafi, DMD
Title
Owner
Phone
(760) 291-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 52929 CA Primary

Addresses

Primary practice location

2367 E Valley Pkwy
Escondido, CA 92027-2715

Mailing address

2367 E Valley Pkwy
Escondido, CA 92027-2715
Phone (760) 291-1700

National Provider Directory

National Provider Directory
Tax ID family
Del Mar Pediatric Adolescents Dental Group2 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.

Locations

2367 E Valley Pkwy
Escondido, CA 92027
Phone (760) 291-1700

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1982081071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272715",
            "telephone_number": "760-291-1700",
            "fax_number": "760-291-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272715",
            "telephone_number": "760-291-1700",
            "fax_number": "760-291-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUDABEH SHARAFI DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "SHARAFI",
        "authorized_official_first_name": "SOUDABEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-291-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "52929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.