Ghorbani - Mohammadi Dental P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

11154 Issued in CT

Legal business name

GHORBANI - MOHAMMADI DENTAL P.C.

Practice address

2676 E Main St
Columbia Dental
Bridgeport, CT 06610-1422

Phone

(408) 313-3228

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Hamed Ghorbani-Moghaddam, D.D.S.

Title

President

Phone

(408) 313-3228

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1982149522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 E MAIN ST",
            "address_2": "COLUMBIA DENTAL",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066101422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 E MAIN ST",
            "address_2": "COLUMBIA DENTAL",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066101422",
            "telephone_number": "408-313-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHORBANI - MOHAMMADI DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "GHORBANI-MOGHADDAM",
        "authorized_official_first_name": "HAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-313-3228",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "11154",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "8514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gesualdi
• Jaime Geter, CRNA
• Getting Better Counseling Services, LLC
• Paridhi Ghai, M.D.
• Aparna Ghimire, M.B.B.S
• Hamed Ghorbani-Moghaddam, D.D.S.
• David Gianetti, M.D.
• Angeliki Giannelou, MD
• Cristina Giansanti, APRN
• Shamonie Gibson

• Dentist in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.