Individual provider Active NPI

Arash Asil, DMD

  • General Practice Dentistry
  • San Clemente, CA
National Provider Identifier
1619027893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52170 Issued in CA
Practice address
390 Camino de Estrella
San Clemente, CA 92672-4859
Phone
(949) 481-2000
Fax
(949) 481-2411
NPI assigned
Jan 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52170 CA Primary

Addresses

Primary practice location

390 Camino de Estrella
San Clemente, CA 92672-4859

Mailing address

390 Camino de Estrella
San Clemente, CA 92672-4859
Phone (949) 481-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
52170CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Asil Dental Group, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619027893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CAMINO DE ESTRELLA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724859",
            "telephone_number": "949-481-2000",
            "fax_number": "949-481-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CAMINO DE ESTRELLA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724859",
            "telephone_number": "949-481-2000",
            "fax_number": "949-481-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIL",
        "first_name": "ARASH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.