Organization Active NPI

Maurice D. Simanian, DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Concord, CA
National Provider Identifier
1578074472
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
61015 Issued in CA
Legal business name
MAURICE D. SIMANIAN, DDS INC
Doing business as
Sunvalley Orthodontics
Practice address
901 Sunvalley Blvd Ste 201
Concord, CA 94520-5820
Phone
(925) 680-4500
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Dr. Maurice David Simanian, DDS, MSD
Title
Orthodontist / President
Phone
(310) 363-0369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 61015 CA Primary

Addresses

Primary practice location

901 Sunvalley Blvd Ste 201
Concord, CA 94520-5820

Mailing address

153 Roslyn Dr
Concord, CA 94518-1214
Phone (310) 363-0369

Other names 1

  • Sunvalley Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

901 Sunvalley Blvd
Ste 201
Concord, CA 94520
Phone (925) 680-4500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1578074472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 ROSLYN DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181214",
            "telephone_number": "310-363-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNVALLEY BLVD STE 201",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205820",
            "telephone_number": "925-680-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE D. SIMANIAN, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "SIMANIAN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ORTHODONTIST / PRESIDENT",
        "authorized_official_telephone_number": "310-363-0369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "61015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunvalley Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.