Organization Active NPI

Itzhak Failaev DDS Inc.

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1689304222
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Itzhak Failaev, DDSNPI 1932705381
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "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.

Verify at the official NPI Registry.