Individual provider Active NPI

Babak Heidari, D.D.S., M.P.H,

  • Public Health Dentistry
  • Orange, CA
National Provider Identifier
1447316864
Registry record updated May 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
54600 Issued in CA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.