Organization Active NPI

Tammam Sheabar DDS, Inc

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1255624953
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50824 Issued in CA
Legal business name
TAMMAM SHEABAR DDS, INC
Practice address
27725 Santa Margarita Pky
#261
Mission Viejo, CA 92691
Phone
(949) 597-2444
Fax
(949) 597-2414
NPI assigned
May 27, 2011
Last updated
Aug 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Dr. Tammam Sheabar, DDS
Title
Owner
Phone
(949) 597-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50824 CA Primary

Addresses

Primary practice location

27725 Santa Margarita Pky
#261
Mission Viejo, CA 92691

Mailing address

27725 Santa Margarita Pky
#261
Mission Viejo, CA 92691
Phone (949) 597-2444

Other names 1

  • Trabuco Dental Former legal business name

National Provider Directory

National Provider Directory

Locations

27725 Santa Margarita Pkwy
Ste 261
Mission Viejo, CA 92691
Phone (949) 597-2444

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": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1255624953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKY",
            "address_2": "#261",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-597-2444",
            "fax_number": "949-597-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKY",
            "address_2": "#261",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-597-2444",
            "fax_number": "949-597-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMAM SHEABAR DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "SHEABAR",
        "authorized_official_first_name": "TAMMAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-597-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trabuco Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.