Organization Active NPI

Nasrin Khajeh DMD, Inc.

  • General Practice Dentistry
  • Tustin, CA
National Provider Identifier
1265058176
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NASRIN KHAJEH DMD, INC.
Practice address
2530 Bryan Ave Ste E
Tustin, CA 92782-8916
Phone
(714) 508-8080
Fax
(714) 508-8080
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Dr. Nasrin Khajeh, DMDNPI 1164670931
Title
Dentist/President
Phone
(714) 508-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2530 Bryan Ave Ste E
Tustin, CA 92782-8916

Mailing address

2530 Bryan Ave Ste E
Tustin, CA 92782-8916
Phone (714) 508-8080

Other names 1

  • Dentistry Now Doing business as

National Provider Directory

National Provider Directory

Locations

2530 Bryan Ave
Ste E
Tustin, CA 92782
Phone (714) 508-8080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1265058176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 BRYAN AVE STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828916",
            "telephone_number": "714-508-8080",
            "fax_number": "714-508-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BRYAN AVE STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828916",
            "telephone_number": "714-508-8080",
            "fax_number": "714-508-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASRIN KHAJEH DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "KHAJEH",
        "authorized_official_first_name": "NASRIN",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "714-508-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry Now",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.