Organization Active NPI

Rollolazo Dental Studio

  • General Practice Dentistry
  • Newport Beach, CA
National Provider Identifier
1710748579
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROLLOLAZO DENTAL STUDIO
Practice address
2131 Westcliff Dr Ste 210
Newport Beach, CA 92660-5545
Phone
(949) 833-3756
Fax
(949) 752-5124
NPI assigned
Jan 18, 2024
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Parham Akhavan, DDS
Title
Provider/Dentist
Phone
(949) 833-3756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2131 Westcliff Dr Ste 210
Newport Beach, CA 92660-5545

Mailing address

2131 Westcliff Dr Ste 210
Newport Beach, CA 92660-5545
Phone (949) 833-3756

Other practice location 1

2 Marston Ln
Ladera Ranch, CA 92694-0909
Phone (949) 359-6622

National Provider Directory

National Provider Directory

Locations

2131 Westcliff Dr
Ste 210
Newport Beach, CA 92660
Phone (949) 833-3756

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1710748579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 WESTCLIFF DR STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605545",
            "telephone_number": "949-833-3756",
            "fax_number": "949-752-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 WESTCLIFF DR STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605545",
            "telephone_number": "949-833-3756",
            "fax_number": "949-752-5124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Marston Ln",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "926940909",
            "country_code": "US",
            "telephone_number": "949-359-6622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROLLOLAZO DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "AKHAVAN",
        "authorized_official_first_name": "PARHAM",
        "authorized_official_title_or_position": "PROVIDER/DENTIST",
        "authorized_official_telephone_number": "949-833-3756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.