Azadeh Ahmadi-Ardakani DDS Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

59353 Issued in CA

Legal business name

AZADEH AHMADI-ARDAKANI DDS INC.

Doing business as

Little Heroes of Orange County Pediatric Dentistry

Practice address

26534 Moulton Pkwy Ste C
Laguna Hills, CA 92653-8241

Phone

(949) 291-8196

NPI assigned

Oct 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Azadeh Ahmadi-Ardakani, DDSNPI 1164739801

Title

Ceo

Phone

(949) 291-8196

Specialties & licenses 1

Addresses

Other names 1

• Little Heroes of Orange County Pediatric Dentistry Doing business as

Locations

Practitioners 1

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

• Azadeh Ahmadi-Ardakani, D.D.S

  • Pediatric Dentistry
  • Mission Viejo, CA
  • NPI 1164739801
  NPD (past) Authorized official

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1881066710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27581 BERDUN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926911431",
            "telephone_number": "949-291-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26534 MOULTON PKWY STE C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926538241",
            "telephone_number": "949-291-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZADEH AHMADI-ARDAKANI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "AHMADI-ARDAKANI",
        "authorized_official_first_name": "AZADEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-291-8196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "59353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Heroes of Orange County Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arthur Avanesov
• Aidan Paul Avila
• Allee Ayers
• Tiara Ayoubi, B.A.
• Jronald Michael Ayzin, DDS
• Homa Azami, MPT, PT
• Neelam Aziz
• Peter Joseph Azzam, MD
• Wesley Babaran, M.D.
• Sarah K. Baca, PA-C

• Preferred Provider Organization in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.