Ghazaleh Nouri Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GHAZALEH NOURI DENTAL CORP

Practice address

3519 Van Buren Blvd Ste 104
Riverside, CA 92503-0306

Phone

(626) 235-7092

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ghazaleh Nouri, DDSNPI 1093206872

Title

President

Phone

(626) 235-7067

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Modern Dental 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.

• Ghazaleh Nouri, DDS

  • Dentist
  • Rancho Cucamonga, CA
  • NPI 1093206872
  NPD (past) Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1982369385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 CLIPSTONE CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035266",
            "telephone_number": "626-235-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 VAN BUREN BLVD STE 104",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925030306",
            "telephone_number": "626-235-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAZALEH NOURI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "NOURI",
        "authorized_official_first_name": "GHAZALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-235-7067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Modern Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Modern Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farideh Ghasemi, FNP
• Sassan Ghassemzadeh, M.D.
• Nikhil Ghatnekar, DO, MBA
• Babak Ghavami, MD
• Ronny G Ghazal, MD
• Zeron Ghazarian, M.D.
• Mehran Ghazizadeh, D.C
• Mina S Ghebrial, M.D.
• Ghods Chiropractic Inc.
• Arman Ghods, D.C.

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.