S Sorour Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

S SOROUR DENTAL OFFICE

Practice address

532 W Lincoln Ave
Anaheim, CA 92805-2533

Phone

(714) 774-6281

NPI assigned

Feb 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Selvana Sorour, DMD

Title

Vice President

Phone

(310) 795-3363

Specialties & licenses 1

Addresses

Practitioners 2

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

• Ramesh A.M. Gowda, DDS

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1205026515
  NPD (past)
• Jaishankar N Kenchetty, B.D.S.

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1770703647
  NPD (past)

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1013509710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 ATLANTIC AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902012523",
            "telephone_number": "323-456-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052533",
            "telephone_number": "714-774-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S SOROUR DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "SOROUR",
        "authorized_official_first_name": "SELVANA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-795-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justina Ryan-Baldwin
• Jacqueline F Ryan, LCSW
• Kathleen M Ryan, CRNA
• Natasha Ryan
• S Dan Koyama DDS Inc
• S&O Care Servicedba Heart to Heart Caregivers
• Beshoy Ibrahim Gerges I Saad, PHARM.D.
• Morsal Saadat
• Alexandria Dominique Saati, AMFT
• Berenice Saavedra

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.