IndividualActive
Reza Kasiri, DDS
NPI 1164525697 · Orthodontics and Dentofacial Orthopedics Dentistry · San Diego, CA
Provider details
- NPI number
- 1164525697
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- B36309 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6755 Mira Mesa Blvd
Suite 218
San Diego, CA 92121
Phone: (858) 552-0052
Fax: (858) 576-1990
Street-level locationGet directions
Mailing address
6755 Mira Mesa Blvd
San Diego, CA 92121
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.