Organization Active NPI

P Kermanshahi Monfared a Dental Corp

  • Pediatric Dentistry
  • Lake Forest, CA
National Provider Identifier
1710859046
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
P KERMANSHAHI MONFARED A DENTAL CORP
Practice address
23642 Rockfield Blvd Ste 503
Lake Forest, CA 92630-1681
Phone
(949) 317-3367
NPI assigned
Sep 17, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Dr. Parisa Kermanshahi Monfared, DMDNPI 1275840837
Title
Pediatric Dentist
Phone
(702) 403-9015

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

23642 Rockfield Blvd Ste 503
Lake Forest, CA 92630-1681

Mailing address

23642 Rockfield Blvd Ste 503
Lake Forest, CA 92630-1681
Phone (949) 317-3367

National Provider Directory

National Provider Directory

Locations

23642 Rockfield Blvd
Ste 503
Lake Forest, CA 92630
Phone (949) 317-3367

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1710859046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23642 ROCKFIELD BLVD STE 503",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301681",
            "telephone_number": "949-317-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23642 ROCKFIELD BLVD STE 503",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301681",
            "telephone_number": "949-317-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P KERMANSHAHI MONFARED A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "KERMANSHAHI MONFARED",
        "authorized_official_first_name": "PARISA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "702-403-9015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.