NPIMap

Organization Active NPI

Sahawneh Dental Corporation

  • General Practice Dentistry
  • San Juan Capistrano, CA
National Provider Identifier
1497585004
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAHAWNEH DENTAL CORPORATION
Practice address
31876 Del Obispo St Ste 103
San Juan Capistrano, CA 92675-3240
Phone
(949) 538-4250
Fax
(949) 535-1391
NPI assigned
Aug 7, 2024
Organization subpart
Yes
Parent organization
SAHAWNEH DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Shorouq Sameer Sahawneh, DDS
Title
Owner Dentist
Phone
(714) 578-6358

Specialties & licenses 1

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

Addresses

Primary practice location

31876 Del Obispo St Ste 103
San Juan Capistrano, CA 92675-3240

Mailing address

675 Anton Blvd Ste 500
Costa Mesa, CA 92626-1919
Phone (949) 308-9792

Other names 1

  • Aspire Dental - San Juan Capistrano Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fratt Dental Corporation132 organizations share this tax ID, including this one
Part of
Fratt Dental Corporation

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

675 Anton Blvd
Ste 500
Costa Mesa, CA 92626

31876 Del Obispo St
Ste 103
San Juan Capistrano, CA 92675
Phone (949) 538-4250

Practitioners & affiliated clinicians

Practitioners 1

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": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1497585004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 ANTON BLVD STE 500",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261919",
            "telephone_number": "949-308-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31876 DEL OBISPO ST STE 103",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753240",
            "telephone_number": "949-538-4250",
            "fax_number": "949-535-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHAWNEH DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAHAWNEH DENTAL CORPORATION",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "SAHAWNEH",
        "authorized_official_first_name": "SHOROUQ",
        "authorized_official_middle_name": "SAMEER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "714-578-6358",
        "authorized_official_credential": "DDS"
    },
    "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": "Aspire Dental - San Juan Capistrano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.