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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ETEMADIEH DENTAL CORPORATION
NPI 1194161281
Dentist in Orange, CA

Active since May 15, 2013
665 N TUSTIN ST STE W, ORANGE, CA 92867(714) 628-9910(714) 628-9930 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Etemadieh Dental Corporation NPPES

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

ETEMADIEH DENTAL CORPORATION (NPI 1194161281), doing business as Orange County Dental Care, is a healthcare organization registered as a dentist in Orange, California and active in the NPI registry since May 2013. The organization lists Ali-reza Etemadieh, Dentist, as its authorized official.

NPPES Registry Identity

NPI1194161281
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameETEMADIEH DENTAL CORPORATION
Location Address665 N TUSTIN ST STE WOrange, CA 92867-7148
Mailing Address665 N Tustin St Ste WOrange, CA 92867-7148 · (714) 628-9910 · Fax (714) 628-9930
Phone(714) 628-9910
Fax(714) 628-9930
Organization SubpartNo
Authorized OfficialAli-reza EtemadiehDentist · (714) 628-9910
Enumeration DateMay 15, 2013
Last NPPES UpdateSeptember 14, 2026
NPPES CertifiedSeptember 14, 2026
✔ NPI 1194161281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 61311
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
665 N TUSTIN ST STE W, Orange, CA 92867
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Other Names 1

Doing Business AsOrange County Dental Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etemadieh Dental Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Etemadieh Dental Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ali-Reza Etemadieh
Oral Surgery
NPI 1598019739
665 N TUSTIN ST STE W
Orange, CA 92867
(714) 628-9910
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Etemadieh Dental Corporation's NPI number?

The NPI number for Etemadieh Dental Corporation is 1194161281. It was assigned to this organization in the NPPES registry on May 15, 2013. The provider is doing business as Orange County Dental Care.

Where is Etemadieh Dental Corporation located?

Etemadieh Dental Corporation is located at 665 N Tustin St Ste W, Orange, CA 92867. The listed phone number is (714) 628-9910.

What is Etemadieh Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Etemadieh Dental Corporation enrolled in Medicare?

Yes. Etemadieh Dental Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Etemadieh Dental Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Etemadieh Dental Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Etemadieh Dental Corporation accept?

Health plans from UnitedHealthcare list Etemadieh Dental Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Etemadieh Dental Corporation was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.