Sanaz Shahbandi DDS a Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SANAZ SHAHBANDI DDS A PROFESSIONAL CORPORATION

Doing business as

Orange Family Dental Group

Practice address

845 W la Veta Ave Ste 109
Orange, CA 92868-3930

Phone

(714) 639-6410

NPI assigned

Dec 23, 2019

Last updated

Dec 23, 2019By 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. Sanaz Shahbandi, DDSNPI 1780014183

Title

Ceo

Phone

(630) 267-1515

Specialties & licenses 1

Addresses

Other names 1

• ORANGE FAMILY DENTAL GROUP Doing business as

Locations

Practitioners 2

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.

• Sanaz Shahbandi, D.D.S

  • Dentist
  • Orange, CA
  • NPI 1780014183
  NPD (past) Authorized official
• Tricia Lee, DDS

  • General Practice Dentistry
  • Orange, CA
  • NPI 1518119288
  NPD (past)

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1558900555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 E SAINT GERMAIN CIR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694348",
            "telephone_number": "630-267-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W LA VETA AVE STE 109",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683930",
            "telephone_number": "714-639-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANAZ SHAHBANDI DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "SHAHBANDI",
        "authorized_official_first_name": "SANAZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-267-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORANGE FAMILY DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Samson
• Jenna Samuels, LMFT 85477
• Keola San Diego
• Mark Jason Joel San Jose
• Vy Ngoc San
• Antonio Dejesus Sanchez Bautista
• Kimberly Sanchez Gonzalez
• Siria Sanchez Neri
• Aleeza Sanchez Romero
• Veronica Sanchez-Reyes

• Dentist in Orange, CA
• Providers in Orange, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.