Dr Sherin Mostafa DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR SHERIN MOSTAFA DDS PC

Doing business as

Anaheim Professional Dental Care

Practice address

1834 W Lincoln Ave Ste M
Anaheim, CA 92801-5425

Phone

(714) 999-0500

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sherin Mostafa, DDS

Title

President

Phone

(714) 215-4252

Specialties & licenses 1

Addresses

Other names 1

• ANAHEIM PROFESSIONAL DENTAL CARE Doing business as

Locations

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1700484417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 W LINCOLN AVE STE M",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015425",
            "telephone_number": "714-215-4252",
            "fax_number": "714-215-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 W LINCOLN AVE STE M",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015425",
            "telephone_number": "714-999-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHERIN MOSTAFA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "MOSTAFA",
        "authorized_official_first_name": "SHERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-215-4252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANAHEIM PROFESSIONAL DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANAHEIM PROFESSIONAL DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.