Organization Active NPI

Charles Zahedi Dental Corporation

  • Dentist
  • Newport Beach, CA
National Provider Identifier
1013348093
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56825 Issued in CA
Legal business name
CHARLES ZAHEDI DENTAL CORPORATION
Practice address
4667 Macarthur Blvd
Suite 230
Newport Beach, CA 92660-1817
Phone
(855) 996-3872
Fax
(888) 872-5556
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Charles S Zahedi, DDSNPI 1558602508
Title
Owner
Phone
(949) 922-4450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 56825 CA Primary

Addresses

Primary practice location

4667 Macarthur Blvd
Suite 230
Newport Beach, CA 92660-1817

Mailing address

4667 Macarthur Blvd
Suite 230
Newport Beach, CA 92660-1817
Phone (855) 996-3872

Other names 1

  • Mobile Dental USA Inc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1013348093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4667 MACARTHUR BLVD",
            "address_2": "SUITE 230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601817",
            "telephone_number": "855-996-3872",
            "fax_number": "888-872-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4667 MACARTHUR BLVD",
            "address_2": "SUITE 230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601817",
            "telephone_number": "855-996-3872",
            "fax_number": "888-872-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES ZAHEDI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "ZAHEDI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-922-4450",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Dental USA Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.