ALIREZA
NPI 1588723951
Dentist - Periodontics in Poway, CA

Active since December 08, 2006
13422 POMERADO RD STE 202, POWAY, CA 92064(858) 679-0142(858) 679-0165 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Alireza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALIREZA (NPI 1588723951) is a healthcare organization registered as a periodontics in Poway, California and active in the NPI registry since December 2006. The organization lists Alireza Khansari, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1588723951
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameALIREZA
Location Address13422 POMERADO RD STE 202Poway, CA 92064-3548
Mailing AddressPo Box 1334Poway, CA 92074-1334 · (858) 679-0142 · Fax (858) 679-0165
Fax(858) 679-0165
Organization SubpartNo
Authorized OfficialAlireza KhansariPeriodontist · (858) 679-0142
Enumeration DateDecember 8, 2006
Last NPPES UpdateFebruary 22, 2010
✔ NPI 1588723951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
13422 POMERADO RD STE 202, Poway, CA 92064

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alireza's NPI number?

The NPI number for Alireza is 1588723951. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Alireza located?

Alireza is located at 13422 Pomerado Rd Ste 202, Poway, CA 92064. The listed phone number is (858) 679-0142.

What is Alireza's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Alireza was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.