Suryah Habibi, DMD, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SURYAH HABIBI, DMD, INC

Practice address

17542 Irvine Blvd Ste D
Tustin, CA 92780-3155

Phone

(949) 282-7428

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Suryah Habibi, DMD, MPHNPI 1346798311

Title

Owner Dentist

Phone

(949) 282-7428

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Suryah Habibi, DMD

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1346798311
  NPD Authorized official

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1710647151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17542 IRVINE BLVD STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803155",
            "telephone_number": "949-282-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17542 IRVINE BLVD STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803155",
            "telephone_number": "949-282-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURYAH HABIBI, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "HABIBI",
        "authorized_official_first_name": "SURYAH",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "949-282-7428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "100863",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nandi Sundaram, PT, MPT
• Levana Sung
• Okbae Sung
• Super Care, LLC
• Jennifer Rachael Surgener, FNP
• Sushil Anand & Associates Medical Corp
• Danielle Swanson
• Robert Jason Sweaza, M.A.
• Robert Leroy Swenson, DDS
• Jacklyn Roberts Swick, DPT

• General Practice Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.