Organization Active NPI

Tony Beizaee DMD Apdc

  • Dentist
  • Aliso Viejo, CA
National Provider Identifier
1023523784
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TONY BEIZAEE DMD APDC
Practice address
6B Liberty St
Suite #155
Aliso Viejo, CA 92656-5834
Phone
(949) 362-3848
Fax
(949) 362-7540
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Tony Beizaee, DMDNPI 1275739310
Title
Dentist
Phone
(949) 362-3848

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 60128 CA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 53269 CA
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 49607

Addresses

Primary practice location

6B Liberty St
Suite #155
Aliso Viejo, CA 92656-5834

Mailing address

6B Liberty St
Suite #155
Aliso Viejo, CA 92656-5834
Phone (949) 362-3848

Other identifiers 1

IdentifierTypeStateIssuer
1275739310OtherCAPPO

Other names 1

  • ALISO CREEK DENAL Doing business as

National Provider Directory

National Provider Directory

Locations

6B Liberty
Ste 155
Aliso Viejo, CA 92656
Phone (949) 362-3848

Practitioners & affiliated clinicians

Practitioners 2

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": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1023523784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6B LIBERTY ST",
            "address_2": "SUITE #155",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565834",
            "telephone_number": "949-362-3848",
            "fax_number": "949-362-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6B LIBERTY ST",
            "address_2": "SUITE #155",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565834",
            "telephone_number": "949-362-3848",
            "fax_number": "949-362-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY BEIZAEE DMD APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "BEIZAEE",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-362-3848",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "60128",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53269",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": "49607",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "1275739310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALISO CREEK DENAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.