Itzhak Failaev

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105829 Issued in CA

Practice address

33 Creek Rd Ste A150
Irvine, CA 92604-4791

Phone

(949) 825-7799

NPI assigned

Dec 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Itzhak Failaev DDS Inc.

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1689304222
  NPD Authorized official
• Emmanuel Kandkhorov, D.D.S., Inc.

  dba MMSI Dental Center

  • Dentist
  • Irvine, CA
  • NPI 1376825794
  NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1932705381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CREEK RD STE A150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044791",
            "telephone_number": "949-825-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CREEK RD STE A150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044791",
            "telephone_number": "949-825-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAILAEV",
        "first_name": "ITZHAK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mmsidental@gmail.com",
            "affiliation": "N",
            "address_1": "33 Creek Rd Ste A150",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926044791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jannine Fahys, MA, LCSW
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• Bret Snyder Fairbanks, PT
• Pasha Faith
• Sara Fakhraei
• Neeloufar Fakourfar, PHARM.D.

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.