Organization Active NPI

Mahshid Farhoumand DDS Inc

  • Dentist
  • Laguna Hills, CA
National Provider Identifier
1912243098
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MAHSHID FARHOUMAND DDS INC
Doing business as
Brilliant Smile dental group of mahshid farhoumand DDS
Practice address
23024 Lake Forest Dr
Ste a
Laguna Hills, CA 92653-1328
Phone
(949) 716-7166
Fax
(949) 716-9191
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Mrs. Mahshid Farhoumand, DDSNPI 1639373400
Title
Owner
Phone
(949) 716-7166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

23024 Lake Forest Dr
Ste a
Laguna Hills, CA 92653-1328

Mailing address

23024 Lake Forest Dr
Ste a
Laguna Hills, CA 92653-1328
Phone (949) 716-7166

Other names 1

  • Brilliant Smile dental group of mahshid farhoumand DDS Doing business as

National Provider Directory

National Provider Directory

Locations

23024 Lake Forest Dr
Ste A
Laguna Hills, CA 92653
Phone (949) 716-7166

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1912243098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23024 LAKE FOREST DR",
            "address_2": "STE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531328",
            "telephone_number": "949-716-7166",
            "fax_number": "949-716-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23024 LAKE FOREST DR",
            "address_2": "STE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531328",
            "telephone_number": "949-716-7166",
            "fax_number": "949-716-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHSHID FARHOUMAND DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "FARHOUMAND",
        "authorized_official_first_name": "MAHSHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-716-7166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brilliant Smile dental group of mahshid farhoumand DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.