Organization Active NPI

Nazeri Sutherland DDS Inc

Doing business as Orange Coast Dental

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1174710933
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43862 Issued in CA
Legal business name
NAZERI SUTHERLAND DDS INC
Doing business as
Orange Coast Dental
Practice address
1717 Old Tustin Ave
Santa Ana, CA 92705-7815
Phone
(714) 835-9188
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Steve Sutherland, DDS
Title
President
Phone
(310) 318-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43862 CA Primary

Addresses

Primary practice location

1717 Old Tustin Ave
Santa Ana, CA 92705-7815

Mailing address

1717 Old Tustin Ave
Santa Ana, CA 92705-7815
Phone (714) 835-9188

Other names 1

  • Orange Coast Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1717 Old Tustin Ave
Santa Ana, CA 92705
Phone (714) 480-0790

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1174710933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OLD TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057815",
            "telephone_number": "714-835-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OLD TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057815",
            "telephone_number": "714-835-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZERI SUTHERLAND DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-318-3303",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Coast Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.