Shahin Mahallati DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43194 Issued in CA

Legal business name

SHAHIN MAHALLATI DDS INC

Practice address

1319 N Main St
Santa Ana, CA 92701-2318

Phone

(714) 972-2782

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Shahin Mahallati, DDS

Title

Owner/President

Phone

(714) 640-2836

Specialties & licenses 1

Addresses

Other names 1

• Aqua Dental Doing business as

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1356625537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 S BRISTOL ST",
            "address_2": "SUITE 307",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047300",
            "telephone_number": "714-540-2836",
            "fax_number": "714-540-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 N MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012318",
            "telephone_number": "714-972-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIN MAHALLATI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "MAHALLATI",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "714-640-2836",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aqua Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prachi Rajesh Shah, MD
• Puja Dipakkumar Shah, FNP, CMSRN
• Tamanna Aroug Shah, PSYD
• Pirouz Shahbazian, DDS
• Shahin Hosseinzadeh Samimi MD PC
• Payman Shahin, D.C.
• Armenak Shahnazaryan
• Alissa Raye Shahrokh, LVN
• Kamran Shahsavari, DDS
• Ali Shahverdiani, M.D.

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, 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 Oct 5, 2011; 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.