NPIMap

Organization Active NPI

Sahawneh Dental Corporation

Doing business as Bright Now Dental - Lake Elsinore

  • Dentist
  • Lake Elsinore, CA
National Provider Identifier
1861185944
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SAHAWNEH DENTAL CORPORATION
Doing business as
Bright Now Dental - Lake Elsinore
Practice address
18330 Collier Ave Ste 102
Lake Elsinore, CA 92530-2778
Phone
(951) 471-7600
Fax
(957) 261-8252
NPI assigned
Jun 2, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SAHAWNEH DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Shorouq Sameer Sahawneh, DDS
Title
Dentist
Phone
(714) 578-6358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

18330 Collier Ave Ste 102
Lake Elsinore, CA 92530-2778

Mailing address

100 Spectrum Center Dr Ste 1500
Irvine, CA 92618-4984
Phone (949) 308-9792

Other names 1

  • Bright Now Dental - Lake Elsinore Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nurani Mitchell Kim PC132 organizations share this tax ID, including this one
Part of
Nurani Mitchell Kim PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

18330 Collier Ave
#102
Lake Elsinore, CA 92530
Phone (951) 471-7600

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1861185944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPECTRUM CENTER DR STE 1500",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184984",
            "telephone_number": "949-308-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18330 COLLIER AVE STE 102",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302778",
            "telephone_number": "951-471-7600",
            "fax_number": "957-261-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHAWNEH DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAHAWNEH DENTAL CORPORATION",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "SAHAWNEH",
        "authorized_official_first_name": "SHOROUQ",
        "authorized_official_middle_name": "SAMEER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-578-6358",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Now Dental - Lake Elsinore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.