Organization Active NPI

Dental Associates of Huntington Beach

  • Dentist
  • Huntington Beach, CA
National Provider Identifier
1619131380
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41577 Issued in CA
Legal business name
DENTAL ASSOCIATES OF HUNTINGTON BEACH
Practice address
5942 Edinger Ave Ste 101
Huntington Beach, CA 92649-1774
Phone
(714) 377-4449
Fax
(714) 377-0125
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. Mohdsameer Y Al-Janedi, DDS
Title
Owner
Phone
(714) 846-8752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41577 CA Primary

Addresses

Primary practice location

5942 Edinger Ave Ste 101
Huntington Beach, CA 92649-1774

Mailing address

5942 Edinger Ave Ste 101
Huntington Beach, CA 92649-1774
Phone (714) 377-4449

National Provider Directory

National Provider Directory

Locations

5942 Edinger Ave
Ste 101
Huntington Beach, CA 92649
Phone (714) 377-4449

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1619131380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 EDINGER AVE STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491774",
            "telephone_number": "714-377-4449",
            "fax_number": "714-377-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5942 EDINGER AVE STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491774",
            "telephone_number": "714-377-4449",
            "fax_number": "714-377-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF HUNTINGTON BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "AL-JANEDI",
        "authorized_official_first_name": "MOHDSAMEER",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-846-8752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.