NPIMap

Organization Active NPI

Khaef Professional Dental Corp

  • Dental Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1558008953
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KHAEF PROFESSIONAL DENTAL CORP
Practice address
1125 E 17TH St Ste E227
Santa Ana, CA 92701-2218
Phone
(714) 705-6852
NPI assigned
May 17, 2022
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Ramtin KhaefNPI 1558596395
Title
President/Dentist
Phone
(949) 510-0225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1125 E 17TH St Ste E227
Santa Ana, CA 92701-2218

Mailing address

4005 Calle Sonora Oeste Unit 2B
Laguna Woods, CA 92637-3240
Phone (949) 510-0225

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1558008953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 CALLE SONORA OESTE UNIT 2B",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373240",
            "telephone_number": "949-510-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE E227",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012218",
            "telephone_number": "714-705-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAEF PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "KHAEF",
        "authorized_official_first_name": "RAMTIN",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "949-510-0225"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 17, 2022; 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.