Organization Active NPI

Fazeli DDS Inc.

Doing business as Discovery Children's Dentistry & Orthodontics

  • Dental Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1164245296
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FAZELI DDS INC.
Doing business as
Discovery Children's Dentistry & Orthodontics
Practice address
6221 Metropolitan St Ste 202
Carlsbad, CA 92009-3096
Phone
(760) 438-1279
Fax
(760) 438-8793
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Afsoon Fazeli, DDSNPI 1265815682
Title
Owner, Ceo
Phone
(206) 218-2010

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6221 Metropolitan St Ste 202
Carlsbad, CA 92009-3096

Mailing address

2654 Peppertree Way
Carlsbad, CA 92009-3073
Phone (206) 218-2010

Other names 1

  • Discovery Children's Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory

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": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1164245296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 PEPPERTREE WAY",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093073",
            "telephone_number": "206-218-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST STE 202",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "760-438-1279",
            "fax_number": "760-438-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAZELI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "FAZELI",
        "authorized_official_first_name": "AFSOON",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "206-218-2010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery Children's Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.