Individual provider Active NPI

Afsoon Fazeli, DDS, MSD

  • Dentist
  • Carlsbad, CA
National Provider Identifier
1265815682
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106047 Issued in CA
Practice address
6221 Metropolitan St Ste 202
Carlsbad, CA 92009-3096
Phone
(760) 438-1279
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106047 CA Primary

Addresses

Primary practice location

6221 Metropolitan St Ste 202
Carlsbad, CA 92009-3096

Mailing address

2654 Peppertree Way
Carlsbad, CA 92009-3073
Phone (206) 218-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106047CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fazeli DDS Inc. CurrentSince Nov 10, 2024 Accepting new patients
Cyrous Sheikh, DDS, Ms, Inc Pediatric Dentistry PastSince Sep 8, 2024 Accepting new patients

Locations

6221 Metropolitan St
Ste 202
Carlsbad, CA 92009
Phone (760) 438-1279

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1265815682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 PEPPERTREE WAY",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093073",
            "telephone_number": "206-218-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST STE 202",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "760-438-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZELI",
        "first_name": "AFSOON",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.