Organization Active NPI

Hossein a. Dental Corporation

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1386035459
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50715 Issued in CA
Legal business name
HOSSEIN A. DENTAL CORPORATION
Practice address
2949 Brea Blvd
A-2
Fullerton, CA 92835-2073
Phone
(714) 987-3121
Fax
(714) 987-3120
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Hossein Abdolhosseini
Title
Dentist
Phone
(714) 987-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 50715 CA Primary

Addresses

Primary practice location

2949 Brea Blvd
A-2
Fullerton, CA 92835-2073

Mailing address

2949 Brea Blvd
A-2
Fullerton, CA 92835-2073
Phone (714) 987-3121

Other names 1

  • Ace Dental Specialties Doing business as

National Provider Directory

National Provider Directory

Locations

2949 Brea Blvd
Ste A2
Fullerton, CA 92835
Phone (714) 987-3121

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1386035459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 BREA BLVD",
            "address_2": "A-2",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352073",
            "telephone_number": "714-987-3121",
            "fax_number": "714-987-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 BREA BLVD",
            "address_2": "A-2",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352073",
            "telephone_number": "714-987-3121",
            "fax_number": "714-987-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSSEIN A. DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "ABDOLHOSSEINI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-987-3121"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ace Dental Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.