T.Eftekhari,DDS,Inc

Primary specialty

DentistTaxonomy code 122300000X

License

52048 Issued in CA

Legal business name

T.EFTEKHARI,DDS,INC

Practice address

2105 San Joaquin Hills Rd
Newport Beach, CA 92660-6507

Phone

(949) 721-1730

Fax

(949) 721-1709

NPI assigned

Jan 21, 2011

Last updated

Oct 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tandis Eftekhari, DDSNPI 1063628816

Title

Persident

Phone

(949) 721-1709

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tandis Eftekhari, DMD

  • Dentist
  • Newport Beach, CA
  • NPI 1063628816
  Authorized official Same address or phone

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1669777660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606507",
            "telephone_number": "949-721-1730",
            "fax_number": "949-721-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606507",
            "telephone_number": "949-721-1730",
            "fax_number": "949-721-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.EFTEKHARI,DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "EFTEKHARI",
        "authorized_official_first_name": "TANDIS",
        "authorized_official_title_or_position": "PERSIDENT",
        "authorized_official_telephone_number": "949-721-1709",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameena Sharieff Syed, DO
• Lea Syfers
• Synergy Authorization Services
• Synergy Health Concepts
• Marilyn Syrett, D.O.
• T.M. Kalra, M.D., a Professional Corporation
• Vinh Quoc Ta, P.A.
• Kiana Taba, M.D.
• Benjamin Tabak, PHD
• Shahzad Tabatabaee

• 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 Oct 1, 2012; 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.