Active NPI
M. Zakhary DDS, Inc.
Doing business as Brite Clean Smiles
- General Practice Dentistry
- Costa Mesa, CA
National Provider Identifier
1689068884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31434
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.