Aliso Niguel Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

033687 Issued in CA

Legal business name

ALISO NIGUEL DENTAL GROUP

Practice address

24541 Pacific Park Dr
Ste 105
Aliso Viejo, CA 92656

Phone

(949) 643-7047

Fax

(949) 643-7049

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Farhang Shahzadi, DDS

Title

Owner/Ceo

Phone

(949) 292-2733

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1881892966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR",
            "address_2": "STE 105",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "92656",
            "telephone_number": "949-643-7047",
            "fax_number": "949-643-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR",
            "address_2": "STE 105",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "92656",
            "telephone_number": "949-643-7047",
            "fax_number": "949-643-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISO NIGUEL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "SHAHZADI",
        "authorized_official_first_name": "FARHANG",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "949-292-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "033687",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47417",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akoya Wellness and Family Counseling, Inc. (Akoya Wellness & Counseling Services)
• Iman Ashlee Al Hawasli, MSW, LCSW, PPSC
• Alyse Laren Alamo
• Dawn M Albert, P.T.
• Aliso Dental Care Dental Group of Silvia Vallis
• Aliso Optometry, Inc.
• Aliso Physical Therapy & Sports Medicine, Inc (Aliso Viejo Physical Therapy and Sports Medicine)
• Aliso Ridge Behavioral Health, LLC
• Aliso Viejo Office
• Aliso Viejo Surgery Center, LLC

• Dentist in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.