Hedayat Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HEDAYAT DENTAL CORPORATION

Practice address

5175 E Pacific Coast Hwy Ste 305
Long Beach, CA 90804-3316

Phone

(949) 292-2091

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Iman Malek Hedayat, DDSNPI 1235561713

Title

Owner

Phone

(949) 292-2091

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Iman Malek Hedayat, D.D.S

  • Dentist
  • Santa Ana, CA
  • NPI 1235561713
  NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684022400000",
    "number": "1578266540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY STE 305",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043316",
            "telephone_number": "949-292-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY STE 305",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043316",
            "telephone_number": "949-292-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDAYAT DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A",
        "authorized_official_last_name": "MALEK HEDAYAT",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-292-2091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kaitlin Hedge
• Stacy Rae Hedrick
• Lisa Kay Heemer, LCSW
• Nicole Hefner
• John Lawrence Hehn, LMT

• Dental Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.