Abraham Ghorbanian DDS Dental Office of Santa Ana Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

53515 Issued in CA

Legal business name

ABRAHAM GHORBANIAN DDS DENTAL OFFICE OF SANTA ANA CORPORATION

Doing business as

Aava Dental of Santa Ana

Practice address

2220 E Fruit St Ste 111
Santa Ana, CA 92701-4459

Phone

(714) 481-0055

NPI assigned

Nov 2, 2016

Last updated

Nov 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abraham Ghorbanian, DDS

Title

Ceo

Phone

(949) 450-0076

Specialties & licenses 1

Addresses

Other names 1

• Aava Dental of Santa Ana Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dong M Kim, D.D.S.

  • Dentist
  • Los Angeles, CA
  • NPI 1821203282
  Medicare reassignment NPD

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1508318916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MUSICK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181638",
            "telephone_number": "949-450-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E FRUIT ST STE 111",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014459",
            "telephone_number": "714-481-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM GHORBANIAN DDS DENTAL OFFICE OF SANTA ANA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "GHORBANIAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-450-0076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aava Dental of Santa Ana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.