Individual provider Active NPI

Bahman Derakhshan, DMD

  • Dentist
  • Aliso Viejo, CA
National Provider Identifier
1114780731
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS110875 Issued in CA
Practice address
26711 Aliso Creek Rd Ste 200B
Aliso Viejo, CA 92656-4822
Phone
(949) 680-4001
NPI assigned
Feb 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS110875 CA Primary
Dentist 122300000X DN10000579 MA

Addresses

Primary practice location

26711 Aliso Creek Rd Ste 200B
Aliso Viejo, CA 92656-4822

Mailing address

26711 Aliso Creek Rd Ste 200B
Aliso Viejo, CA 92656-4822
Phone (949) 680-4001

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

LicenseStateTypeSpecialty
DDS110875CAMDDentist
DN10000579MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
K. Soleimani Dental Corp Dentist PastSince Oct 16, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1114780731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26711 ALISO CREEK RD STE 200B",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564822",
            "telephone_number": "949-680-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 ALISO CREEK RD STE 200B",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564822",
            "telephone_number": "949-680-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAKHSHAN",
        "first_name": "BAHMAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS110875",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.