Koroush Bassiri D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43754 Issued in CA

Legal business name

KOROUSH BASSIRI D.D.S., INC.

Practice address

320 Bristol St
Suite H
Costa Mesa, CA 92626-7946

Phone

(714) 546-7595

Fax

(714) 546-7597

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Koroush Bassiri, DDS

Title

Ceo

Phone

(714) 546-7595

Specialties & licenses 1

Addresses

Other names 1

• Bright Dental Care Doing business as

Locations

Practitioners 1

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

• Danielle Lam, DDS

  • General Practice Dentistry
  • Costa Mesa, CA
  • NPI 1225386246
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982806089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BRISTOL ST",
            "address_2": "SUITE H",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267946",
            "telephone_number": "714-546-7595",
            "fax_number": "714-546-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BRISTOL ST",
            "address_2": "SUITE H",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267946",
            "telephone_number": "714-546-7595",
            "fax_number": "714-546-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOROUSH BASSIRI D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASSIRI",
        "authorized_official_first_name": "KOROUSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-546-7595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greg Koehler, RADT1
• Kierra Jace Koehn, PHARM.D.
• Christian Grey Kolb II, MA, BCAT
• Komi Optical
• Jong Min Kong, DMD
• Lara Koubati
• Kouichi Itoh DDS Inc.
• Brian Kowalski, DC
• Mark Kozuki, PT
• Nicole Krakora, ND

• General Practice Dentistry in Costa Mesa, CA
• Providers in Costa Mesa, 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 Aug 22, 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.