Active NPI
Samira Houshiar, D.D.S.
- Dentist
- Costa Mesa, CA
National Provider Identifier
1992146229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48723
- Practice address
- 2969 Harbor Blvd
Costa Mesa, CA 92626-3912 - Phone
- (562) 988-7788
- NPI assigned
- Jul 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 48723 | CA | Primary |
Addresses
Primary practice location
2969 Harbor Blvd
Costa Mesa, CA 92626-3912
Mailing address
71 Grandview
Irvine, CA 92603-0222
Phone (949) 294-7769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48723 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1992146229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 GRANDVIEW",
"city": "IRVINE",
"state": "CA",
"postal_code": "926030222",
"telephone_number": "949-294-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2969 HARBOR BLVD",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263912",
"telephone_number": "562-988-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSHIAR",
"first_name": "SAMIRA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-15",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.