Connie Tara Akhavanhaidary, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

111994 Issued in CA

Practice address

5175 E Pacific Coast Hwy Ste 201
Long Beach, CA 90804-3315

Phone

(562) 597-1543

NPI assigned

Nov 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Udas Dental Corp

  • Dental Clinic/Center
  • Torrance, CA
  • NPI 1568234730
  NPD
• William a Grella Jr DDS Inc

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1982552451
  NPD (past)

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1043084692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ANDANDO",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565292",
            "telephone_number": "949-613-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043315",
            "telephone_number": "562-597-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHAVANHAIDARY",
        "first_name": "CONNIE",
        "middle_name": "TARA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babatunde Rabiu Akande
• Nick Akapatangkul, PT, DPT
• Akasha Physiotherapy Inc
• Sarah Akbar, FNP-C
• Ketsia Akeza
• Felix Yemi Akinbi
• Laura Victoria Akinnagbe
• Baileigh Akins
• Ibukun Olaitan Akinsola, FNP
• Dorothy C Akpamgbo

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, 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 Apr 26, 2026; 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.