Dr. Kermani DDS Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. KERMANI DDS PROFESSIONAL CORPORATION

Practice address

5405 Alton Pkwy Ste F
Irvine, CA 92604-3719

Phone

(949) 262-0300

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ghazal S Kermani, DDSNPI 1134697683

Title

Manager/Owner

Phone

(949) 701-5320

Specialties & licenses 1

Addresses

Other names 1

• Alton Implant & Dentistry Doing business as

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d8a66cd8-2aa3-4c46-bd99-c97f0bd810bf/

Practitioners 1

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

• Ghazal Kermani

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chicago, IL
  • NPI 1134697683
  NPD Authorized official

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1982362091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 ALTON PKWY STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043719",
            "telephone_number": "949-262-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 ALTON PKWY STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043719",
            "telephone_number": "949-262-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KERMANI DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "KERMANI",
        "authorized_official_first_name": "GHAZAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "949-701-5320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alton Implant & Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alton Implant & Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Irvine, CA
• Providers in Irvine, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.