NPIMap

Organization Active NPI

Avishan K. Nasiri, DMD, Inc.

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1336683549
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64535 Issued in CA
Legal business name
AVISHAN K. NASIRI, DMD, INC.
Practice address
801 N Tustin Ave Ste 504
Santa Ana, CA 92705-3609
Phone
(714) 550-0500
Fax
(714) 550-9560
NPI assigned
Dec 6, 2016
Last updated
Dec 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Dr. Avishan K. Nasiri, DMDNPI 1902286552
Title
President/Dentist
Phone
(949) 981-5601

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 64535 CA Primary

Addresses

Primary practice location

801 N Tustin Ave Ste 504
Santa Ana, CA 92705-3609

Mailing address

801 N Tustin Ave Ste 504
Santa Ana, CA 92705-3609
Phone (714) 550-0500

Other identifiers 1

IdentifierTypeStateIssuer
1902286552OtherCADENTI-CAL

National Provider Directory

National Provider Directory

Locations

801 N Tustin Ave
Ste 504
Santa Ana, CA 92705
Phone (714) 550-0500

Practitioners & affiliated clinicians

Practitioners 3

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": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1336683549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 504",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053609",
            "telephone_number": "714-550-0500",
            "fax_number": "714-550-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 504",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053609",
            "telephone_number": "714-550-0500",
            "fax_number": "714-550-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVISHAN K. NASIRI, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "NASIRI",
        "authorized_official_first_name": "AVISHAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "949-981-5601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "1902286552",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.