Active NPI
Irene Tiu Dadashzadeh, DMD
- Dentist
- Santa Ana, CA
National Provider Identifier
1669629614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37408
- Practice address
- 715 S Main St
Santa Ana, CA 92701 - Phone
- (714) 835-6616
- Fax
- (714) 242-7042
- NPI assigned
- Aug 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37408 | CA | Primary |
Addresses
Primary practice location
715 S Main St
Santa Ana, CA 92701
Mailing address
715 S Main St
Santa Ana, CA 92701
Phone (714) 835-6616
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160803002353 | CA | Order and Referring Only - Dentist | 3577857226 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M. Cashman DDS, Inc. | Past | Accepting new patients | |
| Sahawaneh Dental Corporaton | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Santa Ana, CA
- NPI 1316044217
-
- Dentist
- Santa Ana, CA
- NPI 1427636323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1669629614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 S MAIN ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92701",
"telephone_number": "714-835-6616",
"fax_number": "714-242-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S MAIN ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92701",
"telephone_number": "714-835-6616",
"fax_number": "714-242-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADASHZADEH",
"first_name": "IRENE",
"middle_name": "TIU",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "37408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.