Kmaleki,D.D.S.Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KMALEKI,D.D.S.INC

Practice address

2820 E Imperial Hwy
Brea, CA 92821-6714

Phone

(714) 572-2818

Fax

(714) 572-2800

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Kourosh Maleki, D.D.S.NPI 1780824557

Title

Owner/Dentist

Phone

(714) 572-2818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brea Family Dentistry & Orthodontics Doing business as

Practitioners 1

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

• Kourosh Maleki, D.D.S.

  • Dentist
  • Los Angeles, CA
  • NPI 1780824557
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1124771407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216714",
            "telephone_number": "714-572-2818",
            "fax_number": "714-572-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216714",
            "telephone_number": "714-572-2818",
            "fax_number": "714-572-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMALEKI,D.D.S.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "MALEKI",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "714-572-2818",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780824557",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brea Family Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alaria Anton Kiraz, RPH
• David G. Kirschen, OD, PHD
• Elisa Ann Kiser, M.S., LMFT
• Samantha Kishek
• Rochelle Kissack, PT
• KND Development 59, LLC
• Lindsay Knight
• Daniel Kraft
• Kramer Dental Corporation
• Jessica Heather Krieger

• General Practice Dentistry in Brea, CA
• Providers in Brea, 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 Jan 27, 2022; 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.