Vahe Sam Sardaryanst, D.D.S.

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

55455 Issued in CA

Practice address

15333 Culver Dr
Suite 340G
Irvine, CA 92604-3078

Phone

(949) 733-2846

NPI assigned

Aug 17, 2007

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1417149915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 CULVER DR",
            "address_2": "SUITE 340G",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043078",
            "telephone_number": "949-733-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15333 CULVER DR",
            "address_2": "SUITE 340G",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043078",
            "telephone_number": "949-733-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDARYANST",
        "first_name": "VAHE",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "55455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Anesthesiology in Irvine, CA
• Providers in Irvine, CA by specialty
• Dental Anesthesiology in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.