Individual provider Active NPI

Roya Aflatooni, DDS

  • General Practice Dentistry
  • Huntington Beach, CA
National Provider Identifier
1780769067
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41336 Issued in CA
Practice address
17742 Beach Blvd Ste 315
Huntington Beach, CA 92647-6853
Phone
(714) 842-4411
Fax
(714) 887-8056
NPI assigned
Oct 26, 2006
Reactivated
Feb 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41336 CA Primary

Addresses

Primary practice location

17742 Beach Blvd Ste 315
Huntington Beach, CA 92647-6853

Mailing address

17742 Beach Blvd Ste 315
Huntington Beach, CA 92647-6853
Phone (714) 842-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218001057 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7214252121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roya Aflatooni DDS Inc Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1780769067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD STE 315",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476853",
            "telephone_number": "714-842-4411",
            "fax_number": "714-887-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD STE 315",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476853",
            "telephone_number": "714-842-4411",
            "fax_number": "714-887-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFLATOONI",
        "first_name": "ROYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "deactivation_date": "2006-12-08",
        "reactivation_date": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.