Active NPI
Babak Heidari, D.D.S., M.P.H,
- Public Health Dentistry
- Orange, CA
National Provider Identifier
1447316864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 54600
- Practice address
- 980 N Tustin St
Orange, CA 92867-5903 - Phone
- (714) 997-1005
- Fax
- (714) 997-1055
- NPI assigned
- Dec 29, 2006
- Last updated
- May 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 54600 | CA | Primary |
Addresses
Primary practice location
980 N Tustin St
Orange, CA 92867-5903
Mailing address
980 N Tustin St
Orange, CA 92867-5903
Phone (714) 997-1005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akbar Heidarinia DMD Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305331200000",
"number": "1447316864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675903",
"telephone_number": "714-997-1005",
"fax_number": "714-997-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675903",
"telephone_number": "714-997-1005",
"fax_number": "714-997-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDARI",
"first_name": "BABAK",
"name_prefix": "Dr.",
"credential": "D.D.S., M.P.H,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2011-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "CA",
"license": "54600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.