REZA KHAZAIE,DDS,INC (NPI# 1548386279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548386279 |
| Entity Type | Organization |
| Organization Name | REZA KHAZAIE,DDS,INC |
| Other Organization Name | DENTAL SPECIALTY GROUP |
| Practice Address |
1255 Willow Pass Rd Concord CA 94520-5218 |
| Practice Telephone | 9256804444 |
| Practice Fax Number | 9256804443 |
| Mailing Telephone | 9256804444 |
| Mailing Fax Number | 9256804443 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-06-29 |
| Authorized Official Name | DR. REZA KHAZAIE (OWNER) |
| Authorized Official Telephone | 9256804444 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
41035 | CA | Dental Providers |
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
54286 | CA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
54123 | CA | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Specialty Group | Doing Business As Name - Organization |
| Street Address |
1255 WILLOW PASS RD |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952434367 | Hamid Rezapour | Dentist | 1255 Willow Pass Rd, Concord, CA 94520-5218 | 2007-03-14 |
| 1457873523 | Sam Rahimi-vijeh | Dentist | 1255 Willow Pass Rd, Concord, CA 94520-5218 | 2017-07-11 |
| 1639563430 | Iroshini Jeanne Perera | Dentist | 1255 Willow Pass Rd, Concord, CA 94520-5218 | 2015-03-19 |
| 1285063628 | Taimur Khan | Dentist | 1255 Willow Pass Rd, Concord, CA 94520-5218 | 2013-11-06 |
| 1306002225 | Amy Marie Brandon | Dentist | 1255 Willow Pass Rd, Concord, CA 94520-5218 | 2008-07-30 |
| 1811157894 | Luz Adriana Rosato | Dentist | 1255 Willow Pass Rd, Concord, CA 94520-5218 | 2008-06-12 |
| 1063538569 | Hamid Rezapour, Dds, Inc. | Dentist | 1255 Willow Pass Rd, Concord, CA 94520-5218 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790808525 | Richard Louis Bellagamba | Dentist | 2939 Salvio St, Concord, CA 94519-2534 | 2007-04-08 |
| 1215959234 | Nicholas Peter Kondon | Dentist | 290 Baker Avenue, Suite S203, Concord, MA 01742 | 2006-07-25 |
| 1295183150 | Mark Y. Wang | Dentist | 290 Baker Avenue, Suite S-104, Concord, MA 01742 | 2016-06-01 |
| 1003158726 | Nicholas P. Kondon Dmd, PC | Dentist | 290 Baker Ave., Suite S-203, Concord, MA 01742-2189 | 2013-03-20 |
| 1205165586 | Inna Amirian | Dentist | 290 Baker Ave, Concord, MA 01742-2189 | 2009-12-15 |
| 1962665976 | Jason Joshua Peacock | Dentist | 6 Loudon Rd, #202, Concord, NH 03301-5345 | 2008-07-09 |
| 1457436800 | Jon W. Samaha | Dentist | 13 Wall St, Concord, NH 03301-3742 | 2006-10-26 |
| 1639281892 | Mark Y Wang | Dentist | 290 Baker Ave, Suite S104, Concord, MA 01742 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
| 1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
| 1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
| 1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
| 1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
| 1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.