Organization Active NPI

M. Zakhary DDS, Inc.

Doing business as Brite Clean Smiles

  • General Practice Dentistry
  • Costa Mesa, CA
National Provider Identifier
1689068884
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31434 Issued in CA
Legal business name
M. ZAKHARY DDS, INC.
Doing business as
Brite Clean Smiles
Practice address
488 E 17TH St
101A
Costa Mesa, CA 92627-3250
Phone
(949) 777-1005
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Gaby Ruiz
Title
Secretary
Phone
(714) 739-2051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 31434 CA Primary

Addresses

Primary practice location

488 E 17TH St
101A
Costa Mesa, CA 92627-3250

Mailing address

488 E 17TH St
101A
Costa Mesa, CA 92627-3250
Phone (949) 777-1005

Other names 1

  • Brite Clean Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

488 E 17th St
Ste A101
Costa Mesa, CA 92627
Phone (949) 777-1005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1689068884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E 17TH ST",
            "address_2": "101A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273250",
            "telephone_number": "949-777-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E 17TH ST",
            "address_2": "101A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273250",
            "telephone_number": "949-777-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ZAKHARY DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "GABY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-739-2051"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brite Clean Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.