NPIMap

Organization Active NPI

Anna K Talmood DDS Inc

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1114104452
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D41931 Issued in CA
Legal business name
ANNA K TALMOOD DDS INC
Practice address
1019 N Harbor Blvd
Fullerton, CA 92832-1310
Phone
(714) 992-0300
Fax
(714) 992-2724
NPI assigned
Jan 29, 2008
Last updated
May 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Authorized official

Name
Dr. Anna Khodadadeh Talmood, D.D.SNPI 1184786790
Title
Doctor
Phone
(714) 992-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D41931 CA Primary

Addresses

Primary practice location

1019 N Harbor Blvd
Fullerton, CA 92832-1310

Mailing address

1019 N Harbor Blvd
Fullerton, CA 92832-1310
Phone (714) 992-0300

Other identifiers 1

IdentifierTypeStateIssuer
D41931MedicaidCA

Other names 1

  • Anna K Talmood DD INC Former legal business name

National Provider Directory

National Provider Directory

Locations

1019 N Harbor Blvd
Fullerton, CA 92832
Phone (714) 784-0844

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1114104452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 N HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321310",
            "telephone_number": "714-992-0300",
            "fax_number": "714-992-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 N HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321310",
            "telephone_number": "714-992-0300",
            "fax_number": "714-992-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA K TALMOOD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "TALMOOD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "KHODADADEH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-992-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D41931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D41931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anna K Talmood DD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.