Organization Active NPI

Raihan Nazir DDS, Inc

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1427714252
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RAIHAN NAZIR DDS, INC
Doing business as
Smile Magic Dental Group
Practice address
505 S Villa Real Ste 101B
Anaheim, CA 92807-3432
Phone
(714) 974-4332
Fax
(714) 921-3194
NPI assigned
Nov 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Kendra Tielens
Title
Manager
Phone
(714) 974-4332

Specialties & licenses 1

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

Addresses

Primary practice location

505 S Villa Real Ste 101B
Anaheim, CA 92807-3432

Mailing address

505 S Villa Real Ste 101B
Anaheim, CA 92807-3432
Phone (714) 974-4332

Other practice location 1

601 Dover Dr Ste 12
Newport Beach, CA 92663-5721
Phone (949) 650-0222

Other practice location 2

300 E Yorba Linda Blvd Ste C
Placentia, CA 92870-2910
Phone (714) 528-3383

Other identifiers 2

IdentifierTypeStateIssuer
45156OtherCADENTAL LICENSE
1770700098OtherCANPI

Other names 8

  • Smile Magic Dental Group Doing business as
  • Nazir Dental Group Other name
  • Nazir, Raihan Mohammed DDS Other name
  • Raihan Nazir DDS, Inc Other name
  • Smile Magic Dental Other name
  • Smile Magic Dentistry Other name
  • Smile Magic-Newport Other name
  • Smile Magic-Placentia Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@smilemagicdentistry.com Direct

National Provider Directory

National Provider Directory

Locations

505 S Villa Real
Ste 101B
Anaheim, CA 92807
Phone (714) 974-4332

300 E Yorba Linda Blvd
Ste C
Placentia, CA 92870
Phone (714) 528-3383

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1427714252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S VILLA REAL STE 101B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073432",
            "telephone_number": "714-974-4332",
            "fax_number": "714-921-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S VILLA REAL STE 101B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073432",
            "telephone_number": "714-974-4332",
            "fax_number": "714-921-3194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Dover Dr Ste 12",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926635721",
            "country_code": "US",
            "telephone_number": "949-650-0222",
            "fax_number": "949-650-0221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E Yorba Linda Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928702910",
            "country_code": "US",
            "telephone_number": "714-528-3383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAIHAN NAZIR DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "TIELENS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-974-4332"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "45156",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770700098",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@smilemagicdentistry.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "505 S Villa Real Ste 101B",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Smile Magic Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nazir Dental Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Nazir, Raihan Mohammed DDS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Raihan Nazir DDS, Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Smile Magic Dental",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Smile Magic Dentistry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Smile Magic-Newport",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Smile Magic-Placentia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.