Active NPI
Seyed Aliakbar Vahdati, DDS, MSD
- Endodontics
- Newport Beach, CA
National Provider Identifier
1184023269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 63788
- Practice address
- 355 Placentia Ave Ste 304
Newport Beach, CA 92663-3304 - Phone
- (949) 631-3380
- Fax
- (949) 631-3382
- NPI assigned
- Aug 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 63788 | CA | |
| Endodontics | 1223E0200X | 63788 | CA | Primary |
Addresses
Primary practice location
355 Placentia Ave Ste 304
Newport Beach, CA 92663-3304
Mailing address
355 Placentia Ave Ste 304
Newport Beach, CA 92663-3304
Phone (949) 631-3380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63788 | Other | CA | CALIFORNIA STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@newportrootcanal.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aliakbar Vahdati Dental Corporation | Endodontics | Current | Accepting new patients |
| Seyed Aliakbar Vahdati, DDS, MSD, Inc. | Current | Accepting new patients |
Locations
355 Placentia Ave
Ste 304
Newport Beach, CA 92663
Phone (949) 631-3380
Organizations & group practices 2
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.
-
- Endodontics
- Newport Beach, CA
- NPI 1356818157
-
- Dental Clinic/Center
- Newport Beach, CA
- NPI 1285401786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1184023269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 PLACENTIA AVE STE 304",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633304",
"telephone_number": "949-631-3380",
"fax_number": "949-631-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 PLACENTIA AVE STE 304",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633304",
"telephone_number": "949-631-3380",
"fax_number": "949-631-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHDATI",
"first_name": "SEYED ALIAKBAR",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63788",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "63788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE LICENSE",
"identifier": "63788",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@newportrootcanal.com",
"affiliation": "N",
"endpointDescription": "office secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "355 Placentia Ave Ste 304",
"city": "Newport Beach",
"state": "CA",
"country_code": "US",
"postal_code": "926633304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.