Organization Active NPI

Rabizadeh DDS Apdc

  • Dentist
  • Buena Park, CA
National Provider Identifier
1477932465
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46324 Issued in CA
Legal business name
RABIZADEH DDS APDC
Doing business as
buena park smile dental group
Practice address
6131 Orangethorpe Ave
Suite #405
Buena Park, CA 90620-1315
Phone
(714) 670-7134
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Shawn Rabizadeh, DDS
Title
Pres
Phone
(818) 370-6466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 46324 CA Primary

Addresses

Primary practice location

6131 Orangethorpe Ave
Suite #405
Buena Park, CA 90620-1315

Mailing address

6131 Orangethorpe Ave
Suite #405
Buena Park, CA 90620-1315
Phone (714) 670-7134

Other names 1

  • buena park smile dental group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1477932465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 ORANGETHORPE AVE",
            "address_2": "SUITE #405",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201315",
            "telephone_number": "714-670-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 ORANGETHORPE AVE",
            "address_2": "SUITE #405",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201315",
            "telephone_number": "714-670-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABIZADEH DDS APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "RABIZADEH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "818-370-6466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "buena park smile dental group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.