Organization Active NPI

Mission Viejo Modern Dentistry, Prof. Corp.

Doing business as Mission Viejo Modern Dentistry

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1295676260
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MISSION VIEJO MODERN DENTISTRY, PROF. CORP.
Doing business as
Mission Viejo Modern Dentistry
Practice address
23962 Alicia Pkwy Ste F106
Mission Viejo, CA 92691-3940
Phone
(949) 354-5908
Fax
(949) 382-1610
NPI assigned
Apr 3, 2026
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Seyedeh Golnaz Zokaeian, DDS
Title
Owner
Phone
(949) 354-5908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

23962 Alicia Pkwy Ste F106
Mission Viejo, CA 92691-3940

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890

Other names 1

  • Mission Viejo Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

23962 Alicia Pkwy
Ste F106
Mission Viejo, CA 92691
Phone (949) 354-5908

NPI Registry JSON

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1295676260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23962 ALICIA PKWY STE F106",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913940",
            "telephone_number": "949-354-5908",
            "fax_number": "949-382-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VIEJO MODERN DENTISTRY, PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "ZOKAEIAN",
        "authorized_official_first_name": "SEYEDEH",
        "authorized_official_middle_name": "GOLNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-354-5908",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Viejo Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 3, 2026; 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.