Organization Active NPI

Fereshteh Kheyrdan , D.D.S., Inc.

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1609283126
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FERESHTEH KHEYRDAN , D.D.S., INC.
Practice address
3620 S Bristol St
Suit # 104
Santa Ana, CA 92704-7300
Phone
(174) 662-7898
NPI assigned
Jul 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Dr. Fereshteh Kheyrdan, DDSNPI 1649648825
Title
Dentist/Owner
Phone
(714) 662-7898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3620 S Bristol St
Suit # 104
Santa Ana, CA 92704-7300

Mailing address

5405 Alton Pkwy
#317
Irvine, CA 92604-3717
Phone (714) 662-7898

Other names 1

  • PEARL DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

5405 Alton Pkwy
#317
Irvine, CA 92604

3620 S Bristol St
Ste 104
Santa Ana, CA 92704
Phone (714) 424-0046

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": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1609283126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 ALTON PKWY",
            "address_2": "#317",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043717",
            "telephone_number": "714-662-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 S BRISTOL ST",
            "address_2": "SUIT # 104",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047300",
            "telephone_number": "174-662-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERESHTEH KHEYRDAN , D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "KHEYRDAN",
        "authorized_official_first_name": "FERESHTEH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "714-662-7898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARL DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 16, 2014; 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.