Massoud Kashanchi, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

030399 Issued in CA

Practice address

1503 S Coast Dr Ste 110
Costa Mesa, CA 92626-1526

Phone

(714) 662-4424

Fax

(714) 546-0241

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Massoud Kashanchi Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Massoud Kashanchi, DDS. Prof. Corp.

  • Prosthodontics
  • Costa Mesa, CA
  • NPI 1972013134
  NPD Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1245459379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR STE 110",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261526",
            "telephone_number": "714-662-4424",
            "fax_number": "714-546-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR STE 110",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261526",
            "telephone_number": "714-662-4424",
            "fax_number": "714-546-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHANCHI",
        "first_name": "MASSOUD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "030399",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "030399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MASSOUD",
            "last_name": "KASHANCHI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kangaroo Care Birth Services
• Michael Kao, M.D.
• Ena M Kariya, MD
• Olivia Hope Karl
• Aaron Edward Kash, MD
• Anya Teresse Kasparian
• David Katcef, ND
• Kathrin Winkler Therapy
• Kathryn Marie Kaufman, CNMT
• Maaniya Kaur

• Oral and Maxillofacial Surgery (Dentist) in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.