Abrak Etemad, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

63271 Issued in CA

Practice address

5010 Campus Dr Ste 130
Newport Beach, CA 92660-2120

Phone

(949) 945-6262

NPI assigned

Jun 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Etemad Dental Inc

  • General Practice Dentistry
  • Newport Beach, CA
  • NPI 1063115970
  NPD Authorized official

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1659691616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 TULAROSA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181117",
            "telephone_number": "949-562-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 CAMPUS DR STE 130",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602120",
            "telephone_number": "949-945-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETEMAD",
        "first_name": "ABRAK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63271",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana G Estrada Tello
• Milinda Chidera Estrada, PA-C
• Vitzania Estrada
• Etemad Dental Inc
• Tara Etemad-Haary, LMFT
• Leila Ettefagh, M.D.
• Eugene K Kim MD Inc
• Evangeline Chu MD a Medical Corporation
• Andre Evans, AMFT-122136
• April R Evans, M.D.

• Dentist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.