Organization Active NPI

Farshad Seyedein DDS Inc

  • Endodontics
  • Tustin, CA
National Provider Identifier
1972154417
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
FARSHAD SEYEDEIN DDS INC
Practice address
13420 Newport Ave Ste H
Tustin, CA 92780-3745
Phone
(714) 852-3626
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Farshad Seyedein
Title
President/Endodontist
Phone
(714) 767-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

13420 Newport Ave Ste H
Tustin, CA 92780-3745

Mailing address

820 S Wildflower LN
Anaheim, CA 92808-2300
Phone (714) 767-1353

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Office@endotustin.com

National Provider Directory

National Provider Directory

Locations

13420 Newport Ave
Ste H
Tustin, CA 92780
Phone (714) 852-3626

Interoperability endpoints

  • Direct secure messaging: office@endotustin.com

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1972154417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S WILDFLOWER LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082300",
            "telephone_number": "714-767-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 NEWPORT AVE STE H",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803745",
            "telephone_number": "714-852-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARSHAD SEYEDEIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "SEYEDEIN",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "PRESIDENT/ENDODONTIST",
        "authorized_official_telephone_number": "714-767-1353"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Office@endotustin.com",
            "affiliation": "N",
            "address_1": "13420 Newport Ave Ste H",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927803745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.