Individual provider Active NPI

Sanaz Shahbandi, D.D.S

  • Dentist
  • Orange, CA
National Provider Identifier
1780014183
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63126 Issued in CA
Practice address
6449 East Saint Germain Cir.
Orange, CA 92869
Phone
(714) 633-4184
NPI assigned
Nov 21, 2013
Last updated
Nov 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63126 CA Primary

Addresses

Primary practice location

6449 East Saint Germain Cir.
Orange, CA 92869

Mailing address

6449 East Saint Germain Cir.
Orange, CA 92869
Phone (714) 633-4184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanaz Shahbandi DDS a Professional Corporation Dentist PastSince Dec 29, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1780014183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 EAST SAINT GERMAIN CIR.",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92869",
            "telephone_number": "714-633-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 EAST SAINT GERMAIN CIR.",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92869",
            "telephone_number": "714-633-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBANDI",
        "first_name": "SANAZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.