Active NPI
Ali Ehsan DDS Inc.
- General Practice Dentistry
- Orange, CA
National Provider Identifier
1073875217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 52380
- Legal business name
- ALI EHSAN DDS INC.
- Practice address
- 1714 N Tustin St
Orange, CA 92865-4603 - Phone
- (714) 998-5502
- Fax
- (714) 998-5503
- NPI assigned
- Jun 13, 2012
- Last updated
- Jun 13, 2012
- 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. Ali Ehsan, DDS
- Title
- Owner
- Phone
- (714) 998-5502
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 | 52380 | CA | Primary |
Addresses
Primary practice location
1714 N Tustin St
Orange, CA 92865-4603
Mailing address
1714 N Tustin St
Orange, CA 92865-4603
Phone (714) 998-5502
National Provider Directory
National Provider DirectoryLocations
1714 N Tustin St
Orange, CA 92865
Phone (714) 998-5502
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339545600000",
"number": "1073875217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928654603",
"telephone_number": "714-998-5502",
"fax_number": "714-998-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928654603",
"telephone_number": "714-998-5502",
"fax_number": "714-998-5503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALI EHSAN DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-13",
"last_updated": "2012-06-13",
"status": "A",
"authorized_official_last_name": "EHSAN",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-998-5502",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "52380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.