NPIMap

Organization Active NPI

Massoud Kashanchi, DDS. Prof. Corp.

  • Prosthodontics
  • Costa Mesa, CA
National Provider Identifier
1972013134
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
30399 Issued in CA
Legal business name
MASSOUD KASHANCHI, DDS. PROF. CORP.
Practice address
1503 S Coast Dr
Costa Mesa, CA 92626-1534
Phone
(714) 662-4424
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Massoud Kashanchi, DDS.NPI 1245459379
Title
Dentist
Phone
(714) 662-4424

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
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 30399 CA Primary

Addresses

Primary practice location

1503 S Coast Dr
Costa Mesa, CA 92626-1534

Mailing address

1503 S. Coast Dr.
110
Costa Mesa, CA 92626
Phone (714) 662-4424

Other names 1

  • South Coast Dental Specalists Doing business as

National Provider Directory

National Provider Directory

Locations

1503 S Coast Dr
Ste 110
Costa Mesa, CA 92626
Phone (714) 662-4424

Practitioners & affiliated clinicians

Practitioners 2

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": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972013134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 S. COAST DR.",
            "address_2": "110",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "714-662-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261534",
            "telephone_number": "714-662-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSOUD KASHANCHI, DDS. PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KASHANCHI",
        "authorized_official_first_name": "MASSOUD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-662-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "30399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Coast Dental Specalists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.