Abrishami Basti Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ABRISHAMI BASTI DENTAL CORPORATION

Doing business as

TLC Family Dentistry

Practice address

6552 Bolsa Ave Ste Q
Huntington Beach, CA 92647-2656

Phone

(714) 897-8980

NPI assigned

Jul 24, 2020

Last updated

Sep 16, 2020By 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

Dr. Sepideh Abrishami Basti, DDS

Title

President

Phone

(714) 897-8980

Specialties & licenses 1

Addresses

Other names 1

• TLC Family Dentistry Doing business as

Locations

Practitioners 2

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.

• Elizabeth Brito, DDS

  • Dentist
  • Huntington Beach, CA
  • NPI 1033788245
  NPD (past)
• Charles Craig Pelletier, D.D.S.

  • Dentist
  • Huntington Beach, CA
  • NPI 1174646194
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1679182869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE STE Q",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472656",
            "telephone_number": "714-897-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE STE Q",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472656",
            "telephone_number": "714-897-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRISHAMI BASTI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "BASTI",
        "authorized_official_first_name": "SEPIDEH",
        "authorized_official_middle_name": "ABRISHAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-897-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Wayne Abinante, DO, MPH
• Abraham Malkin, M.D. Better U, P.C.
• Jessica Abraham, PHARM.D
• Honie Gail Abramowicz, LCSW
• Kristin Abrina
• Martha Abudeye
• Alonso Aburto Campos
• Taher Abuzalan, DDS
• Jessica Academia
• Access BHC Licensed Clinical Social Worker PC

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.