Organization Active NPI

Shefagh Sherry Darabi, DDS, a Professional Dental Corporation

  • Dental Clinic/Center
  • Orange, CA
National Provider Identifier
1871084400
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
59923 Issued in CA
Legal business name
SHEFAGH SHERRY DARABI, DDS, A PROFESSIONAL DENTAL CORPORATION
Doing business as
Glassell Dental
Practice address
245 N Glassell St Ste a
Orange, CA 92866-1408
Phone
(714) 532-5600
NPI assigned
May 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Shefagh Sherry Darabi, DDS
Title
Owner Dentist, Ceo
Phone
(714) 423-1470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 59923 CA Primary

Addresses

Primary practice location

245 N Glassell St Ste a
Orange, CA 92866-1408

Mailing address

930 S Harvard Cir
Anaheim, CA 92807-5021
Phone (714) 423-1470

Other names 1

  • Glassell Dental Doing business as

National Provider Directory

National Provider Directory

Locations

245 N Glassell St
Ste A
Orange, CA 92866
Phone (714) 532-5600

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1871084400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S HARVARD CIR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928075021",
            "telephone_number": "714-423-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N GLASSELL ST STE A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661408",
            "telephone_number": "714-532-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEFAGH SHERRY DARABI, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "DARABI",
        "authorized_official_first_name": "SHEFAGH",
        "authorized_official_middle_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER DENTIST, CEO",
        "authorized_official_telephone_number": "714-423-1470",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glassell Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.