Active NPI
Farrah Zaery, DDS
- General Practice Dentistry
- Mission Viejo, CA
National Provider Identifier
1669550125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 53362
- Practice address
- 27725 Santa Margarita Pkwy Ste 270
Mission Viejo, CA 92691-6708 - Phone
- (949) 951-0951
- Fax
- (949) 652-3445
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | KS6731 | KS | |
| General Practice Dentistry | 1223G0001X | 53362 | CA | Primary |
Addresses
Primary practice location
27725 Santa Margarita Pkwy Ste 270
Mission Viejo, CA 92691-6708
Mailing address
12848 S Rene St
Olathe, KS 66062
Phone (913) 768-6191
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
| License | State | Type | Specialty |
|---|---|---|---|
| KS6731 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mikaeya Kalantari Dental Corporation | Past | Accepting new patients | |
| Zaery Kalantari Dental Group Inc | General Practice | Past | Accepting new patients |
| RC Rhoads Dental, PA | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Sunshine Smiles of Orange County
- General Practice Dentistry
- Mission Viejo, CA
- NPI 1699202531
-
- Pediatric Dentistry
- Mission Viejo, CA
- NPI 1124509989
-
dba Smiles by the Lake
- General Practice Dentistry
- Overland Park, KS
- NPI 1568976041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1669550125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12848 S RENE ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "66062",
"telephone_number": "913-768-6191",
"fax_number": "913-451-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27725 SANTA MARGARITA PKWY STE 270",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916708",
"telephone_number": "949-951-0951",
"fax_number": "949-652-3445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAERY",
"first_name": "FARRAH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "KS6731",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "53362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.