Active NPI
Kalantari DDS Dental Corporation
- Dentist
- Santa Ana, CA
National Provider Identifier
1548653249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61075
- Legal business name
- KALANTARI DDS DENTAL CORPORATION
- Practice address
- 2502 S Bristol St
Santa Ana, CA 92704-5725 - Phone
- (714) 662-2000
- NPI assigned
- Mar 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danial Rezaei Kalantari, DDS
- Title
- Ceo
- Phone
- (714) 662-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61075 | CA | Primary |
Addresses
Primary practice location
2502 S Bristol St
Santa Ana, CA 92704-5725
Mailing address
2502 S Bristol St
Santa Ana, CA 92704-5725
Phone (714) 662-2000
Other names 1
- Smiles On Bristol Dentistry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425513600000",
"number": "1548653249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 S BRISTOL ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045725",
"telephone_number": "714-662-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 S BRISTOL ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045725",
"telephone_number": "714-662-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALANTARI DDS DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A",
"authorized_official_last_name": "REZAEI KALANTARI",
"authorized_official_first_name": "DANIAL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-662-2000",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "61075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smiles On Bristol Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.