Active NPI
Itzhak Failaev DDS Inc.
- General Practice Dentistry
- Santa Ana, CA
National Provider Identifier
1689304222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ITZHAK FAILAEV DDS INC.
- Practice address
- 3620 S Bristol St Ste 210
Santa Ana, CA 92704-7315 - Phone
- (714) 549-1409
- Fax
- (714) 549-2118
- NPI assigned
- Jun 15, 2022
- 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
- Itzhak Failaev, DDS
- Title
- Dentist
- Phone
- (714) 549-1409
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3620 S Bristol St Ste 210
Santa Ana, CA 92704-7315
Mailing address
3620 S Bristol St Ste 210
Santa Ana, CA 92704-7315
Phone (714) 549-1409
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Irvine, CA
- NPI 1932705381
-
- Dentist
- Santa Ana, CA
- NPI 1518142900
-
- General Practice Dentistry
- Santa Ana, CA
- NPI 1093891764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655251200000",
"number": "1689304222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 S BRISTOL ST STE 210",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047315",
"telephone_number": "714-549-1409",
"fax_number": "714-549-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 S BRISTOL ST STE 210",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047315",
"telephone_number": "714-549-1409",
"fax_number": "714-549-2118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ITZHAK FAILAEV DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A",
"authorized_official_last_name": "FAILAEV",
"authorized_official_first_name": "ITZHAK",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "714-549-1409",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"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 Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.