Individual provider Active NPI

Hossein Ascarzadeh, DMD

  • Dentist
  • Helena, AL
National Provider Identifier
1831247931
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS102356 Issued in CA
Practice address
3397 Helena Rd.
Helena, AL 35080
Phone
(205) 620-4300
Fax
(205) 620-2793
NPI assigned
Jan 8, 2007
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS102356 CA Primary

Addresses

Primary practice location

3397 Helena Rd.
Helena, AL 35080

Mailing address

13771 Newport Ave Ste 11
Tustin, CA 92780-4692
Phone (714) 838-7777

Other identifiers 1

IdentifierTypeStateIssuer
000078634MedicaidAL

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
DDS102356CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascarzadeh Dental Group Dentist CurrentSince Mar 20, 2025 Accepting new patients
Masoudaramdds.Inc Dentist PastSince Mar 20, 2025 Accepting new patients

Locations

13771 Newport Ave
Ste 11
Tustin, CA 92780
Phone (714) 838-7777

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, 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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1831247931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13771 NEWPORT AVE STE 11",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804692",
            "telephone_number": "714-838-7777",
            "fax_number": "714-838-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3397 HELENA RD.",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "35080",
            "telephone_number": "205-620-4300",
            "fax_number": "205-620-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCARZADEH",
        "first_name": "HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS102356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000078634",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.