Active NPI
Crystiane Babarczi Couto, M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Santa Clarita, CA
National Provider Identifier
1851523682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 61884
- Practice address
- 24264 Main St
Santa Clarita, CA 91321-2911 - Phone
- (661) 290-2825
- NPI assigned
- Aug 12, 2009
- Last updated
- Mar 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 24799 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 61884 | CA | Primary |
Addresses
Primary practice location
24264 Main St
Santa Clarita, CA 91321-2911
Mailing address
12665 Village LN Apt 3525
Los Angeles, CA 90094-2853
Phone (314) 724-8732
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61884 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 24799 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pedram N Soleimani 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aesthetic Dental & Specialty Center
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1639590433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1851523682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12665 VILLAGE LN APT 3525",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900942853",
"telephone_number": "314-724-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24264 MAIN ST",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913212911",
"telephone_number": "661-290-2825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUTO",
"first_name": "CRYSTIANE",
"middle_name": "BABARCZI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "24799",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "61884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.