NPIMap

Organization Active NPI

Hedieh Tavajohi-Kermani, DDS, MDS, Inc

Doing business as Newport Orthodontics & Children's Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newport Beach, CA
National Provider Identifier
1902099112
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
43565 Issued in CA
Legal business name
HEDIEH TAVAJOHI-KERMANI, DDS, MDS, INC
Doing business as
Newport Orthodontics & Children's Dentistry
Practice address
2515 Eastbluff Dr.
Newport Beach, CA 92660
Phone
(949) 640-5050
Fax
(949) 640-5051
NPI assigned
Aug 21, 2007
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Dr. Hedi Kermani, DDS, MDSNPI 1871649152
Title
President
Phone
(949) 836-1699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 43565 CA Primary

Addresses

Primary practice location

2515 Eastbluff Dr.
Newport Beach, CA 92660

Mailing address

2549 Eastbluff Dr Ste B
#415
Newport Beach, CA 92660-3500
Phone (949) 640-5050

Other names 1

  • Newport Orthodontics & Children's Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2515 Eastbluff Dr
Newport Beach, CA 92660
Phone (949) 640-5050

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1902099112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 EASTBLUFF DR STE B",
            "address_2": "#415",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603500",
            "telephone_number": "949-640-5050",
            "fax_number": "949-640-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 EASTBLUFF DR.",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-640-5050",
            "fax_number": "949-640-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDIEH TAVAJOHI-KERMANI, DDS, MDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "KERMANI",
        "authorized_official_first_name": "HEDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-836-1699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "43565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Orthodontics & Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.