Organization Active NPI

Ashkan Namini DDS, Inc.

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1477375285
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ASHKAN NAMINI DDS, INC.
Practice address
930 Pacific Ave
Long Beach, CA 90813-4228
Phone
(562) 708-7158
NPI assigned
Oct 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Chad Hendricks
Title
Credentialing
Phone
(612) 859-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

930 Pacific Ave
Long Beach, CA 90813-4228

Mailing address

930 Pacific Ave
Long Beach, CA 90813-4228
Phone (562) 708-7158

Other names 1

  • Ash Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

930 Pacific Ave
Long Beach, CA 90813
Phone (560) 491-0409

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1477375285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134228",
            "telephone_number": "562-708-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134228",
            "telephone_number": "562-708-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHKAN NAMINI DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ash Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.