NPIMap

Organization Active NPI

Sahawaneh Dental Corporaton

Doing business as Walnut Family Dental

  • Dentist
  • Walnut, CA
National Provider Identifier
1730984063
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SAHAWANEH DENTAL CORPORATON
Doing business as
Walnut Family Dental
Practice address
330 N Lemon Ave
Walnut, CA 91789-2338
Phone
(909) 594-9444
NPI assigned
Feb 19, 2025
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SAHAWNEH DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Shorouq Sameer Sahawneh, DDS
Title
PC Owner
Phone
(714) 578-6358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

330 N Lemon Ave
Walnut, CA 91789-2338

Mailing address

330 N Lemon Ave
Walnut, CA 91789-2338
Phone (909) 594-9444

Other names 1

  • Walnut Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fratt Dental C Orporation132 organizations share this tax ID, including this one
Part of
Fratt Dental C Orporation

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

330 N Lemon Ave
Walnut, CA 91789
Phone (909) 594-9444

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": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1730984063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N LEMON AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892338",
            "telephone_number": "909-594-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N LEMON AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892338",
            "telephone_number": "909-594-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHAWANEH DENTAL CORPORATON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAHAWNEH DENTAL CORPORATION",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "SAHAWNEH",
        "authorized_official_first_name": "SHOROUQ",
        "authorized_official_middle_name": "SAMEER",
        "authorized_official_title_or_position": "PC OWNER",
        "authorized_official_telephone_number": "714-578-6358",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.