S Abadi Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

S ABADI DENTAL CORPORATION

Practice address

24602 Raymond Way Ste 211
Lake Forest, CA 92630-8420

Phone

(949) 228-6800

NPI assigned

Jan 4, 2019

Last updated

Jan 4, 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

Sanaz Abadi, DMD

Title

President

Phone

(949) 461-5800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1568935351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24602 RAYMOND WAY STE 211",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308420",
            "telephone_number": "949-228-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24602 RAYMOND WAY STE 211",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308420",
            "telephone_number": "949-228-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S ABADI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "ABADI",
        "authorized_official_first_name": "SANAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-461-5800",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.