Active NPI
Emmanuel Kandkhorov, D.D.S., Inc.
Doing business as MMSI Dental Center
- Dentist
- Irvine, CA
National Provider Identifier
1376825794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50617
- Legal business name
- EMMANUEL KANDKHOROV, D.D.S., INC.
- Doing business as
- MMSI Dental Center
- Practice address
- 33 Creek Rd Ste a-150
Irvine, CA 92604-4791 - Phone
- (949) 825-7799
- NPI assigned
- Sep 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmanuel Kandkhorov, D.D.S.
- Title
- President
- Phone
- (949) 825-7799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50617 | CA | Primary |
Addresses
Primary practice location
33 Creek Rd Ste a-150
Irvine, CA 92604-4791
Mailing address
33 Creek Rd Ste a-150
Irvine, CA 92604-4791
Phone (949) 825-7799
Other names 1
- MMSI Dental Center
National Provider Directory
National Provider DirectoryLocations
33 Creek Rd
Ste A150
Irvine, CA 92604
Phone (949) 825-7799
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Irvine, CA
- NPI 1932705381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515369600000",
"number": "1376825794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 CREEK RD STE A-150",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044791",
"telephone_number": "949-825-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 CREEK RD STE A-150",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044791",
"telephone_number": "949-825-7799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMMANUEL KANDKHOROV, D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-12",
"last_updated": "2018-01-08",
"status": "A",
"authorized_official_last_name": "KANDKHOROV",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-825-7799",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "50617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MMSI Dental Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
- Rachel A. Emas, OT
- Emeritus Medical Technology LLC (EmeritusDX)
- Emeritus Professional Medical Corporation, LLC
- Jennifer Emerson
- Nigar Eminzade
- Ashley Lynn Emmett
- Madison Grace Empalmado
- Empire Healthcare Corporation (Empire Healthcare IPA)
- Empirica Group Inc (Neuropsychology OC)
- Empower Sleep Medical Associates Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.