NPIMap

Organization Active NPI

Roya Pouryavari,DMD,Inc.

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1235678103
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49194 Issued in CA
Legal business name
ROYA POURYAVARI,DMD,INC.
Practice address
809 S Main St Ste C
Santa Ana, CA 92701-5719
Phone
(949) 903-9898
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Roya Pouryavari, DMDNPI 1548323231
Title
General Dentist
Phone
(949) 903-9898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 49194 CA Primary

Addresses

Primary practice location

809 S Main St Ste C
Santa Ana, CA 92701-5719

Mailing address

809 S Main St Ste C
Santa Ana, CA 92701-5719
Phone (949) 903-9898

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1235678103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S MAIN ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015719",
            "telephone_number": "949-903-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S MAIN ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015719",
            "telephone_number": "949-903-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYA POURYAVARI,DMD,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "POURYAVARI",
        "authorized_official_first_name": "ROYA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "949-903-9898",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 13, 2017; 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.