Hamid Zehtab, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D6931 Issued in OR

Practice address

3620 S Bristol St Ste 207
Santa Ana, CA 92704-7315

Phone

(503) 998-1655

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Hamid Zehtab DMD Inc

  • Dental Clinic/Center
  • Santa Ana, CA
  • NPI 1467093336
  NPD Authorized official
• Clawson & Ebel LLC

  • General Practice Dentistry
  • Lake Oswego, OR
  • NPI 1265882484
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1669404257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 S BRISTOL ST STE 207",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047315",
            "telephone_number": "503-998-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 S BRISTOL ST STE 207",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047315",
            "telephone_number": "503-998-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHTAB",
        "first_name": "HAMID",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Zavala, MS, MFT INTERN
• Edgar Nectali Zavaleta, RN
• Abel Zavalza
• Carolina Michelle Zayas, RD
• Kayti Zayas
• Larisa Zeltser, D.O.
• Zenith Physical Therapy Inc
• David J Zepeda
• German Zermeno, M.D.
• Allen Zhang, MD

• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.