NPIMap

Organization Active NPI

Danoukh Dental Corp.

  • General Practice Dentistry
  • La Mirada, CA
National Provider Identifier
1124686233
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DANOUKH DENTAL CORP.
Practice address
12271 La Mirada Blvd Ste 201
La Mirada, CA 90638-1336
Phone
(562) 445-3555
NPI assigned
Jun 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Ramtin Khaef, DMDNPI 1558596395
Title
Owner
Phone
(949) 510-0225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

12271 La Mirada Blvd Ste 201
La Mirada, CA 90638-1336

Mailing address

27758 Santa Margarita Pkwy # 382
Mission Viejo, CA 92691-6709
Phone (949) 510-0225

Other names 1

  • My La Mirada Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

12271 La Mirada Blvd
Ste 201
La Mirada, CA 90638
Phone (562) 445-3555

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1124686233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27758 SANTA MARGARITA PKWY # 382",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916709",
            "telephone_number": "949-510-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12271 LA MIRADA BLVD STE 201",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381336",
            "telephone_number": "562-445-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANOUKH DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KHAEF",
        "authorized_official_first_name": "RAMTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-510-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My La Mirada Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.