Organization Active NPI

Samonte Mora Najaran Dental

Doing business as Sand Canyon Dental

  • Dental Clinic/Center
  • Irvine, CA
National Provider Identifier
1114164399
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49155 Issued in CA
Legal business name
SAMONTE MORA NAJARAN DENTAL
Doing business as
Sand Canyon Dental
Practice address
16100 Sand Canyon Ave Ste 270
Irvine, CA 92618-3725
Phone
(949) 727-9077
Fax
(949) 727-9094
NPI assigned
Jan 9, 2009
Last updated
Jan 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Dr. Sepideh Najaran, DMD
Title
President
Phone
(949) 727-9077

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 50521 CA
Dental Clinic/Center 261QD0000X 49155 CA Primary

Addresses

Primary practice location

16100 Sand Canyon Ave Ste 270
Irvine, CA 92618-3725

Mailing address

16100 Sand Canyon Ave Ste 270
Irvine, CA 92618-3725
Phone (949) 727-9077

Other names 1

  • Sand Canyon Dental Doing business as

National Provider Directory

National Provider Directory

Locations

16100 Sand Canyon Ave
Ste 270
Irvine, CA 92618
Phone (949) 727-9077

Practitioners & affiliated clinicians

Practitioners 2

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": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1114164399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 270",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183725",
            "telephone_number": "949-727-9077",
            "fax_number": "949-727-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 270",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183725",
            "telephone_number": "949-727-9077",
            "fax_number": "949-727-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMONTE MORA NAJARAN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "NAJARAN",
        "authorized_official_first_name": "SEPIDEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-727-9077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50521",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sand Canyon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.