K. Soleimani Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

47320 Issued in CA

Legal business name

K. SOLEIMANI DENTAL CORP

Practice address

26711 Aliso Creek Rd Ste 200B
Aliso Viejo, CA 92656-4822

Phone

(949) 680-4001

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Katayoun Soleimani, D.D.SNPI 1902015803

Title

President

Phone

(949) 280-1455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Katayoun Soleimani, D.D.S

  • General Practice Dentistry
  • Oceanside, CA
  • NPI 1902015803
  Medicare reassignment Authorized official
• Bahman Derakhshan, DMD

  • Dentist
  • Aliso Viejo, CA
  • NPI 1114780731
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1962943225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26711 ALISO CREEK RD STE 200B",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 ALISO CREEK RD STE 200B",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564822",
            "telephone_number": "949-680-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. SOLEIMANI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "SOLEIMANI",
        "authorized_official_first_name": "KATAYOUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-280-1455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.