NPIMap

Organization Active NPI

Shervin Ahmadnia DDS Inc

Doing business as forest family dentistry

  • General Practice Dentistry
  • Lake Forest, CA
National Provider Identifier
1295917144
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36331 Issued in CA
Legal business name
SHERVIN AHMADNIA DDS INC
Doing business as
forest family dentistry
Practice address
22855 Lake Forest Dr
Suite B
Lake Forest, CA 92630-1656
Phone
(949) 583-1558
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Shervin Ahmadnia, DDSNPI 1720120801
Title
Owner
Phone
(949) 583-1558

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 Dentistry 1223G0001X 36331 CA Primary

Addresses

Primary practice location

22855 Lake Forest Dr
Suite B
Lake Forest, CA 92630-1656

Mailing address

22855 Lake Forest Dr
Suite B
Lake Forest, CA 92630-1656
Phone (949) 583-1558

Other names 1

  • forest family dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

22855 Lake Forest Dr
Ste B
Lake Forest, CA 92630
Phone (949) 583-1558

Practitioners & affiliated clinicians

Practitioners 5

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": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1295917144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22855 LAKE FOREST DR",
            "address_2": "SUITE B",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301656",
            "telephone_number": "949-583-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22855 LAKE FOREST DR",
            "address_2": "SUITE B",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301656",
            "telephone_number": "949-583-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERVIN AHMADNIA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "AHMADNIA",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-583-1558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "forest family dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.