Organization Active NPI

Kalantari DDS Dental Corporation

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1548653249
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61075 Issued in CA
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

Updated by the provider on Mar 5, 2015

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.