Cosmetic Dentistry Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48215 Issued in CA

Legal business name

COSMETIC DENTISTRY CENTER

Practice address

10810 Warner Ave Ste 1
Fountain Valley, CA 92708-3848

Phone

(714) 965-1093

Fax

(714) 965-1083

NPI assigned

Oct 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Hassan Hamami Alhaouasli, DDSNPI 1942361175

Title

Owner

Phone

(714) 965-1093

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hassan Hamami Alhaouasli, DDS

  • Dentist
  • Fountain Valley, CA
  • NPI 1942361175
  NPD (past) Authorized official
• Helen Tran Ninh, DDS

  • Dentist
  • Fountain Valley, CA
  • NPI 1023170370
  NPD (past)

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1124304977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 WARNER AVE STE 1",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083848",
            "telephone_number": "714-965-1093",
            "fax_number": "714-965-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 WARNER AVE STE 1",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083848",
            "telephone_number": "714-965-1093",
            "fax_number": "714-965-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC DENTISTRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "ALHAOUASLI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "HAMAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-965-1093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G92795-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerrel S Cortel
• Jacqueline Cortes
• Jaileene Priscilla Cortes
• Ramona Cortez Rodriguez
• Sally Yong Corvacho
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Heidi Cottle, MFT
• Coury & Buehler Physical Therapy - Fountain Valley, Inc.

• General Practice Dentistry in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.