Organization Active NPI

Etemad Dental Inc

  • General Practice Dentistry
  • Newport Beach, CA
National Provider Identifier
1063115970
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Dr. Abrak Etemad, DMDNPI 1659691616
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.