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CONNIE TARA AKHAVANHAIDARY DDS
NPI 1043084692
Dentist - General Practice in Long Beach, CA

Active since November 14, 2023
5175 E PACIFIC COAST HWY STE 201, LONG BEACH, CA 90804(562) 597-1543 Get Directions Write a Review

NPPES record last updated: April 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2026, Jan 14, 2026, Nov 14, 2023 (3 updates tracked since 2023).

About Connie Tara Akhavanhaidary Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE TARA AKHAVANHAIDARY DDS (NPI 1043084692) is an individual general practice provider in Long Beach, California, licensed in California (111994) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1043084692
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCONNIE TARA AKHAVANHAIDARYCredential: DDS
Location Address5175 E PACIFIC COAST HWY STE 201Long Beach, CA 90804-3315
Mailing Address6 AndandoAliso Viejo, CA 92656-5292 · (949) 613-0404
Phone(562) 597-1543
Sole ProprietorYes
Enumeration DateNovember 14, 2023
Last NPPES UpdateApril 26, 20263 updates tracked since enumeration
NPPES CertifiedApril 26, 2026
✔ NPI 1043084692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 111994
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5175 E PACIFIC COAST HWY STE 201, Long Beach, CA 90804
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM A GRELLA JR DDS INC
Dentist (General Practice)
5175 E PACIFIC COAST HWY STE 201
LONG BEACH, CA 90804
Los Angeles County (562) 597-1543

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Akhavanhaidary's NPI number?

The NPI number for Connie Akhavanhaidary is 1043084692. It was assigned to this individual provider in the NPPES registry on November 14, 2023.

Where is Connie Akhavanhaidary located?

Connie Akhavanhaidary practices at 5175 E Pacific Coast Hwy Ste 201, Long Beach, CA 90804. The listed phone number is (562) 597-1543.

What is Connie Akhavanhaidary's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Connie Akhavanhaidary was last updated on April 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.