Shahzadi Dental, a Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHAHZADI DENTAL, A PROFESSIONAL CORPORATION

Doing business as

Aliso Niguel Dental Group

Practice address

24541 Pacific Park Dr Ste 105
Aliso Viejo, CA 92656-3050

Phone

(949) 643-7047

NPI assigned

Oct 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Farhang Shahzadi, DDSNPI 1912249392

Title

President

Phone

(949) 643-7047

Specialties & licenses 1

Addresses

Other names 1

• Aliso Niguel Dental Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farhang Shahzadi, DDS

  • Dentist
  • Aliso Viejo, CA
  • NPI 1912249392
  NPD Authorized official

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1831970870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 105",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563050",
            "telephone_number": "949-643-7047",
            "fax_number": "949-643-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 105",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563050",
            "telephone_number": "949-643-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHZADI DENTAL, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "SHAHZADI",
        "authorized_official_first_name": "FARHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-643-7047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aliso Niguel Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hee Seon Seo
• Shannon Marie Setter, NURSE PRACTITIONER
• Shane Seymour, OD
• George Kevork Shahinian, M.D.
• Shahla Abedi M D a Professional Corporation
• Farhang Shahzadi, DDS
• Sadaf Shalchian Pourkhaljan, LMFT
• Smriti Shamapant, DACM, LAC, DIPL. OM
• Azadeh Shams
• Gabrielle Lorraine Shaw

• Dental Clinic/Center in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.