MASSOUD KASHANCHI, DDS. PROF. CORP. (NPI# 1972013134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972013134 |
| Entity Type | Organization |
| Organization Name | MASSOUD KASHANCHI, DDS. PROF. CORP. |
| Other Organization Name | SOUTH COAST DENTAL SPECALISTS |
| Practice Address |
1503 S Coast Dr Costa Mesa CA 92626-1534 |
| Mailing Address |
1503 S. Coast Dr. 110 Costa Mesa CA 92626 |
| Practice Telephone | (714) 662-4424 |
| Mailing Telephone | 7146624424 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Authorized Official Name | DR. MASSOUD KASHANCHI (DENTIST) |
| Authorized Official Telephone | 7146624424 |
| Authorized Official Credential | DDS. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
30399 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| South Coast Dental Specalists | Doing Business As Name - Organization |
| Street Address |
1503 S COAST DR |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770652141 | Joseph Vaccaro | Psychologist | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2006-11-07 |
| 1073140398 | Minji Lee | Behavior Technician | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2020-03-25 |
| 1659916948 | James Crawford Roberts | Behavior Technician | 1503 S Coast Dr, Suite 202, Costa Mesa, CA 92626-1527 | 2019-11-11 |
| 1316581176 | Christopher Roy Costa | Behavior Technician | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2019-11-04 |
| 1730722257 | Andrea Rodriguez | Behavior Technician | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2019-10-28 |
| 1740840685 | Christina-marie Stevenson | Behavior Technician | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2019-06-13 |
| 1831658236 | Morgan Garcia | Behavior Technician | 1503 S Coast Dr, Costa Mesa, CA 92626-1534 | 2019-03-15 |
| 1871942805 | Diana Alcantar | Marriage & Family Therapist | 1503 S Coast Dr, Ste 202, Costa Mesa, CA 92626-1534 | 2016-06-09 |
| 1215381231 | Joshua Claramunt | Counselor | 1503 S Coast Dr, Suite 202, Costa Mesa, CA 92626-1534 | 2016-04-15 |
| 1790155729 | Garcia Chiropractic | Chiropractor | 1503 S Coast Dr, Suite 319, Costa Mesa, CA 92626-1534 | 2015-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245459379 | Massoud Kashanchi | Dentist | 1503 S Coast Dr Ste 110, Costa Mesa, CA 92626-1526 | 2007-04-25 |
| 1750786349 | Mo Taheri, D.m.d., Inc. | Dentist | 1640 Newport Blvd, Suite 300, Costa Mesa, CA 92627-3786 | 2014-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
| 1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
| 1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
| 1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
| 1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
| 1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.