Organization Active NPI

H. Jahangiri Dental Corporation

  • General Practice Dentistry
  • Lake Forest, CA
National Provider Identifier
1255447132
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43611 Issued in CA
Legal business name
H. JAHANGIRI DENTAL CORPORATION
Practice address
23361 El Toro Rd Ste 117
Lake Forest, CA 92630-4810
Phone
(949) 830-3743
Fax
(949) 830-6077
NPI assigned
Aug 22, 2006
Last updated
Jun 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Mr. Hossein Jahangiri, DDS
Title
Owner/Dentist
Phone
(949) 830-3743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43611 CA Primary

Addresses

Primary practice location

23361 El Toro Rd Ste 117
Lake Forest, CA 92630-4810

Mailing address

23361 El Toro Rd Ste #117
Lake Forest, CA 92630
Phone (949) 830-3743

Other identifiers 1

IdentifierTypeStateIssuer
204988678OtherCATAX ID #

National Provider Directory

National Provider Directory

Locations

23361 El Toro Rd
Ste 117
Lake Forest, CA 92630
Phone (949) 830-3743

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1255447132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23361 EL TORO RD STE #117",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "92630",
            "telephone_number": "949-830-3743",
            "fax_number": "949-830-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23361 EL TORO RD STE 117",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304810",
            "telephone_number": "949-830-3743",
            "fax_number": "949-830-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. JAHANGIRI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "JAHANGIRI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "949-830-3743",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "204988678",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.