Padideh Shafiei, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49803 Issued in CA

Legal business name

PADIDEH SHAFIEI, DMD

Doing business as

Mission Viejo Dental

Practice address

23482 Alicia Pkwy
Mission Viejo, CA 92691-2601

Phone

(949) 581-0090

Fax

(949) 581-1999

NPI assigned

Nov 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Padideh Shafiei, DMD

Title

Owner

Phone

(949) 581-0090

Specialties & licenses 1

Addresses

Other names 1

• Mission Viejo Dental Doing business as

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295806420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SANDPOINTE AVE",
            "address_2": "8TH FLOOR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075778",
            "telephone_number": "949-581-0090",
            "fax_number": "949-581-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23482 ALICIA PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912601",
            "telephone_number": "949-581-0090",
            "fax_number": "949-581-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADIDEH SHAFIEI, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFIEI",
        "authorized_official_first_name": "PADIDEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-581-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Viejo Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.