NPIMap

Organization Active NPI

Anaheim Community Dentistry

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1124229182
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANAHEIM COMMUNITY DENTISTRY
Practice address
435 N State College Blvd
Anaheim, CA 92806-2917
Phone
(714) 635-0855
Fax
(714) 635-1814
NPI assigned
May 29, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Vahid Einollahi, DDSNPI 1861521874
Title
Dentist
Phone
(714) 635-0855

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

435 N State College Blvd
Anaheim, CA 92806-2917

Mailing address

435 N State College Blvd
Anaheim, CA 92806-2917
Phone (714) 635-0855

National Provider Directory

National Provider Directory
Tax ID family
Anaheim Community Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

435 N State College Blvd
Anaheim, CA 92806
Phone (714) 635-0855

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1124229182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N STATE COLLEGE BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062917",
            "telephone_number": "714-635-0855",
            "fax_number": "714-635-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N STATE COLLEGE BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062917",
            "telephone_number": "714-635-0855",
            "fax_number": "714-635-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM COMMUNITY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "EINOLLAHI",
        "authorized_official_first_name": "VAHID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-635-0855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.