Serene Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

53648 Issued in CA

Legal business name

SERENE DENTAL CENTER

Practice address

2500 Alton Pkwy
Suite 200
Irvine, CA 92606-5024

Phone

(949) 748-7373

Fax

(949) 748-7375

NPI assigned

May 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shirin Shery Mansouri, DDSNPI 1750487187

Title

Vice Persident

Phone

(949) 748-7373

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirin Shery Mansouri, DDS

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1750487187
  NPD (past) Authorized official
• Ali Reza Mansouri, DDS

  • Dentist
  • Irvine, CA
  • NPI 1073688560
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841405065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ALTON PKWY",
            "address_2": "SUITE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065024",
            "telephone_number": "949-748-7373",
            "fax_number": "949-748-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALTON PKWY",
            "address_2": "SUITE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065024",
            "telephone_number": "949-748-7373",
            "fax_number": "949-748-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANSOURI",
        "authorized_official_first_name": "SHIRIN",
        "authorized_official_middle_name": "SHERY",
        "authorized_official_title_or_position": "VICE PERSIDENT",
        "authorized_official_telephone_number": "949-748-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marzeh Sepehrynazar
• Sepideh Kazemi MD Inc a Professional Corporation
• Andy Sepulveda, ATC
• Ahmed A. Serag, M.D., PH.D.
• Serendipity
• Serene Essence Acupuncture & Wellness Inc.
• Serene Sleep Management, LLC
• Serenity Sleep & Neurodiagnostics, Inc
• Grace Love Sergeant
• Jamal Serhan

• Dentist in Irvine, CA
• Providers in Irvine, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.