Premier Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52313 Issued in CA

Legal business name

PREMIER DENTAL

Practice address

15892 Pasadena Ave
Tustin, CA 92780-5415

Phone

(714) 573-7100

NPI assigned

Jul 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Amir H Sadjadi

Title

Principal

Phone

(310) 488-7163

Specialties & licenses 1

Addresses

Tax ID family

Amir Sadjadi DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Amir Sadjadi DMD

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1700281854
  NPD tax ID

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1942597190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 DUET",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926034215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15892 PASADENA AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927805415",
            "telephone_number": "714-573-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "SADJADI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "310-488-7163",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Care Services, LLC
• Premier Wellness Medical Center
• Premise Health of California Medical PC
• Prepare to Change Child and Family Counseling
• Prepare to Change, a Psychology Corporation
• Price Family Therapy

• General Practice Dentistry in Tustin, CA
• Providers in Tustin, 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 Jul 7, 2011; 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.