Ebrahimian Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EBRAHIMIAN DENTAL GROUP

Practice address

5 Erba LN Ste a
Scotts Valley, CA 95066-4160

Phone

(831) 438-4411

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ariana Ebrahimian, DDSNPI 1295035848

Title

Owner

Phone

(831) 438-4411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ebrahimian Integrative Dentistry Doing business as

Practitioners 1

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

• Ariana Ebrahimian, D.D.S.

  • Dentist
  • Scotts Valley, CA
  • NPI 1295035848
  NPD Authorized official

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1992453088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ERBA LN STE A",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664160",
            "telephone_number": "831-438-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ERBA LN STE A",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664160",
            "telephone_number": "831-438-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBRAHIMIAN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMIAN",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-438-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "55910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebrahimian Integrative Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Marie Dobrev, IBCLC, RN
• Dr Srujal H Shah DDS Inc
• Victoria Ellen Durkan
• Reanne Eames
• Ebrahimian & Ebrahimian Inc
• Ariana Ebrahimian, D.D.S.
• Max Ebrahimian, D.D.S.
• Shamara Edwards
• Donelle Ehritt, M.A
• Maria Elizarraraz-Rios

• Dental Clinic/Center in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.