Active NPI
Etemad Dental Inc
- General Practice Dentistry
- Newport Beach, CA
National Provider Identifier
1063115970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ETEMAD DENTAL INC
- Doing business as
- Newport Smile Studio
- Practice address
- 5010 Campus Dr Ste 130
Newport Beach, CA 92660-2120 - Phone
- (949) 945-6262
- Fax
- (949) 945-6266
- NPI assigned
- Mar 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abrak Etemad, DMD
- Title
- Owner / Dentist
- Phone
- (949) 562-9616
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5010 Campus Dr Ste 130
Newport Beach, CA 92660-2120
Mailing address
5010 Campus Dr Ste 130
Newport Beach, CA 92660-2120
Phone (949) 945-6262
Other names 1
- Newport Smile Studio
National Provider Directory
National Provider DirectoryLocations
5010 Campus Dr
Ste 130
Newport Beach, CA 92660
Phone (949) 945-6262
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Newport Beach, CA
- NPI 1659691616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679443200000",
"number": "1063115970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 CAMPUS DR STE 130",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602120",
"telephone_number": "949-945-6262",
"fax_number": "949-945-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 CAMPUS DR STE 130",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602120",
"telephone_number": "949-945-6262",
"fax_number": "949-945-6266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ETEMAD DENTAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A",
"authorized_official_last_name": "ETEMAD",
"authorized_official_first_name": "ABRAK",
"authorized_official_title_or_position": "OWNER / DENTIST",
"authorized_official_telephone_number": "949-562-9616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Newport Smile Studio",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 22, 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.