Organization Active NPI

Foroutan Dental Corp

  • Dentist
  • Buena Park, CA
National Provider Identifier
1053831396
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FOROUTAN DENTAL CORP
Practice address
8951 Knott Ave Ste L
Buena Park, CA 90620-4108
Phone
(714) 826-4181
NPI assigned
Jun 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Authorized official

Name
Monica Chavez
Title
Admin
Phone
(949) 644-9181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8951 Knott Ave Ste L
Buena Park, CA 90620-4108

Mailing address

8951 Knott Ave Ste L
Buena Park, CA 90620-4108
Phone (714) 826-4181

National Provider Directory

National Provider Directory

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": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1053831396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 KNOTT AVE STE L",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204108",
            "telephone_number": "714-826-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 KNOTT AVE STE L",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204108",
            "telephone_number": "714-826-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOROUTAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "949-644-9181"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.