Individual provider Active NPI

Ayeh Nourikhorasani, DMD

  • Dentist
  • Laguna Niguel, CA
National Provider Identifier
1801446562
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104371 Issued in CA
Practice address
30131 Town Center Dr Ste 250
Laguna Niguel, CA 92677-2082
Phone
(949) 770-7686
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104371 CA Primary

Addresses

Primary practice location

30131 Town Center Dr Ste 250
Laguna Niguel, CA 92677-2082

Mailing address

30131 Town Center Dr Ste 250
Laguna Niguel, CA 92677-2082
Phone (949) 770-7686

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

State licenses

LicenseStateTypeSpecialty
104371CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Benyaminy and Kashani Dental Corp PastSince Sep 1, 2021 Accepting new patients
Yen and Dimitri Dental Corporation Dentist PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1801446562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 250",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772082",
            "telephone_number": "949-770-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 250",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772082",
            "telephone_number": "949-770-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURIKHORASANI",
        "first_name": "AYEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.