Individual provider Active NPI

Seyed Aliakbar Vahdati, DDS, MSD

  • Endodontics
  • Newport Beach, CA
National Provider Identifier
1184023269
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
63788 Issued in CA
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

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63788 CA
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
63788OtherCACALIFORNIA STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Aliakbar Vahdati Dental Corporation Endodontics CurrentSince Apr 25, 2021 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.

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.

Verify at the official NPI Registry.