Individual provider Active NPI

Seyedeh Zahra Hassantash

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
National Provider Identifier
1346741352
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
102304 Issued in CA
Practice address
11415 Legacy Ter
San Diego, CA 92131-3579
Phone
(626) 589-6025
NPI assigned
Feb 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401415845 VA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 102304 CA Primary

Addresses

Primary practice location

11415 Legacy Ter
San Diego, CA 92131-3579

Mailing address

1800 Jonathan Way Apt 723
Reston, VA 20190-3693
Phone (626) 589-6025

Other practice location 1

131 Elden St
Herndon, VA 20170-4876
Phone (703) 689-3900

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401415845VAMDDentist
102304CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zahra Hassantash DDS Ms Inc Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Organizations & group practices 1

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": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1346741352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 JONATHAN WAY APT 723",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903693",
            "telephone_number": "626-589-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 LEGACY TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313579",
            "telephone_number": "626-589-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Elden St",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704876",
            "country_code": "US",
            "telephone_number": "703-689-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSANTASH",
        "first_name": "SEYEDEH ZAHRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-25",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415845",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "102304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.