Pourshirazi & Renzi Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

POURSHIRAZI & RENZI DENTAL CORPORATION

Practice address

999 N Tustin Ave Ste 219
Santa Ana, CA 92705-6506

Phone

(714) 972-1359

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Renzi Jr., DDSNPI 1912947003

Title

President

Phone

(714) 313-5781

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Renzi Jr., DDS

  • Pediatric Dentistry
  • Santa Ana, CA
  • NPI 1912947003
  NPD Authorized official

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1174262844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WOODCREST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926030220",
            "telephone_number": "714-313-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 219",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056506",
            "telephone_number": "714-972-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POURSHIRAZI & RENZI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "RENZI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-313-5781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ocpediatricdentalgroup@gmail.com",
            "affiliation": "N",
            "address_1": "999 N Tustin Ave Ste 219",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927056506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eva Felice Potts, NP
• Thais Potts, LVN
• Sarah Laura Pou, DDS
• Kelly Pounds
• Nancy T Pourkaram, DPM
• Jennifer McNally Pourvasei, MFT
• Roya Pouryavari, D.M.D
• Darlene Jeannine Powell
• Dorothy A Powell
• Kathryn J Powell, OTR

• Pediatric Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.