Active NPI
Seyedeh Zahra Hassantash
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Diego, CA
National Provider Identifier
1346741352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 102304
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415845 | VA | MD | Dentist |
| 102304 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Escondido, CA
- NPI 1942938873
Orthodontics and Dentofacial Orthopedics
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.