NPIMap

Organization Active NPI

Sorour D.M.D, PC

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1750736591
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOROUR D.M.D, PC
Practice address
1701 N Main St
Santa Ana, CA 92706-2745
Phone
(714) 795-2177
NPI assigned
Apr 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Selvana Sorour, D.M.D
Title
Vice President
Phone
(310) 795-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1701 N Main St
Santa Ana, CA 92706-2745

Mailing address

1701 N Main St
Santa Ana, CA 92706-2745
Phone (714) 795-2177

National Provider Directory

National Provider Directory
Tax ID family
Sorour DMD PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 N Main St
Santa Ana, CA 92706
Phone (714) 795-2177

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1750736591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062745",
            "telephone_number": "714-795-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062745",
            "telephone_number": "714-795-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROUR D.M.D, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "SOROUR",
        "authorized_official_first_name": "SELVANA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-795-3363",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.