NPIMap

Organization Active NPI

Obaidi Dental Corporation

  • Dentist
  • San Clemente, CA
National Provider Identifier
1447642152
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56455 Issued in CA
Legal business name
OBAIDI DENTAL CORPORATION
Practice address
657 Camino de Los Mares
Suite 138
San Clemente, CA 92673-2826
Phone
(949) 487-6780
Fax
(949) 487-6781
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Dr. Anmar Mahdi Obaidi, D.D.S.
Title
President
Phone
(949) 683-3326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 56455 CA Primary

Addresses

Primary practice location

657 Camino de Los Mares
Suite 138
San Clemente, CA 92673-2826

Mailing address

657 Camino de Los Mares
Suite 138
San Clemente, CA 92673-2826
Phone (949) 487-6780

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1447642152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 CAMINO DE LOS MARES",
            "address_2": "SUITE 138",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732826",
            "telephone_number": "949-487-6780",
            "fax_number": "949-487-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CAMINO DE LOS MARES",
            "address_2": "SUITE 138",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732826",
            "telephone_number": "949-487-6780",
            "fax_number": "949-487-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBAIDI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "OBAIDI",
        "authorized_official_first_name": "ANMAR",
        "authorized_official_middle_name": "MAHDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-683-3326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.