NPIMap

Organization Active NPI

Sahawaneh Dental Corporaton

Doing business as Santa Ana Dental Group

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1427636323
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SAHAWANEH DENTAL CORPORATON
Doing business as
Santa Ana Dental Group
Practice address
715 S. Main St.
Santa Ana, CA 92701-5794
Phone
(714) 835-6616
NPI assigned
Mar 31, 2021
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SAHAWNEH DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Shorouq Sameer Sahawneh
Title
PC Owner
Phone
(714) 578-6358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

715 S. Main St.
Santa Ana, CA 92701-5794

Mailing address

100 Spectrum Center Dr Ste 1500
Irvine, CA 92618-4984
Phone (714) 428-1326

Other names 1

  • Santa Ana Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sahawaneh Dental Corporaton132 organizations share this tax ID, including this one
Part of
Sahawaneh Dental Corporaton

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

715 S Main St
Santa Ana, CA 92701
Phone (714) 647-0797

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1427636323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPECTRUM CENTER DR STE 1500",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184984",
            "telephone_number": "714-428-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S. MAIN ST.",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015794",
            "telephone_number": "714-835-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHAWANEH DENTAL CORPORATON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAHAWNEH DENTAL CORPORATION",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "SAHAWNEH",
        "authorized_official_first_name": "SHOROUQ",
        "authorized_official_middle_name": "SAMEER",
        "authorized_official_title_or_position": "PC OWNER",
        "authorized_official_telephone_number": "714-578-6358"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Ana Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.