Ahd Berkdar

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109523 Issued in CA

Practice address

15 Mareblu Ste 280
Aliso Viejo, CA 92656-3068

Phone

(949) 487-9220

Fax

(949) 215-1587

NPI assigned

Oct 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Berkdar Dental PC

  • Dental Clinic/Center
  • Aliso Viejo, CA
  • NPI 1245108026
  NPD Authorized official

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1124809637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAREBLU STE 280",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563068",
            "telephone_number": "949-487-9220",
            "fax_number": "949-215-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAREBLU STE 280",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563068",
            "telephone_number": "949-487-9220",
            "fax_number": "949-215-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKDAR",
        "first_name": "AHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Badri Beheshti
• Tony Beizaee, D.M.D
• Jamie J Belmont
• Mollie Louise Bennell-Lazarus, MOLLIE BENNELL-LAZAR
• Berkdar Dental PC
• Princess Berry
• Natalie Anne Berthe
• Beverly Dermatology and Laser Center
• Roland Spurgeon Beverly III, M.D.
• Ambika Bhushan

• General Practice Dentistry in Aliso Viejo, CA
• Providers in Aliso Viejo, 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 Aug 18, 2025; 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.