Active NPI
Akbar Heidarinia, D.M.D.
- General Practice Dentistry
- Orange, CA
National Provider Identifier
1104804780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37117
- Practice address
- 235 S Tustin St
Orange, CA 92866-2321 - Phone
- (949) 874-3366
- Fax
- (714) 744-0024
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37117 | CA | Primary |
Addresses
Primary practice location
235 S Tustin St
Orange, CA 92866-2321
Mailing address
1 Scotia Sea
Newport Coast, CA 92657-2104
Phone (949) 715-3132
Other practice location 1
980 N Tustin St
Orange, CA 92867-5903
Phone (714) 997-1005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37117 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akbar Heidarinia DMD Inc | Past | Accepting new patients | |
| Akbar Heidarinia DMD Inc | General Practice | Past | Accepting new patients |
| Akbar Heidarinia DMD Inc | General Practice | Past | Accepting new patients |
| Petri Dental Corporation | General Practice | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- Orange, CA
- NPI 1275728149
-
- General Practice Dentistry
- Santa Ana, CA
- NPI 1306043872
-
- General Practice Dentistry
- Orange, CA
- NPI 1679803332
-
- General Practice Dentistry
- Orange, CA
- NPI 1225534407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607731200000",
"number": "1104804780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SCOTIA SEA",
"city": "NEWPORT COAST",
"state": "CA",
"postal_code": "926572104",
"telephone_number": "949-715-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662321",
"telephone_number": "949-874-3366",
"fax_number": "714-744-0024"
}
],
"practiceLocations": [
{
"address_1": "980 N Tustin St",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928675903",
"country_code": "US",
"telephone_number": "714-997-1005",
"fax_number": "714-997-1055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIDARINIA",
"first_name": "AKBAR",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2020-12-12",
"certification_date": "2020-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "37117",
"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 Dec 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.