DR. ALI-REZA ETEMADIEH
NPI 1598019739
Dentist in Orange, CA

Q: What is Ali-reza Etemadieh's NPI number?

The NPI number for Ali-reza Etemadieh is 1598019739. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Q: What is Ali-reza Etemadieh's specialty?

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

Active since November 08, 2012PECOS Enrolled

665 N TUSTIN ST STE W, ORANGE, CA 92867(714) 628-9910 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Ali-reza Etemadieh NPPES

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

DR. ALI-REZA ETEMADIEH (NPI 1598019739) is an individual dentist in Orange, California, licensed in California (61311) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598019739

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. ALI-REZA ETEMADIEH

Location Address665 N TUSTIN ST STE WOrange, CA 92867-7148

Mailing Address665 N Tustin St Ste WOrange, CA 92867-7148 · (714) 628-9910

Phone(714) 628-9910

Sole ProprietorYes

Enumeration DateNovember 8, 2012

Last NPPES UpdateApril 22, 2015

✔ NPI 1598019739 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ali-reza Etemadieh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Repair of nasal or cheek bone with bone graft 21210

This procedure involves fixing damaged nasal or cheek bones using a bone graft. A bone graft is a piece of healthy bone taken from another area of your body, or a special bone-like material. It's used to help your damaged bone heal, restore its original shape, or improve its function.

37 services18 patients

Removal of foreign body from tissue, accessed beneath the skin, simple 10120

This procedure involves the removal of an external object lodged within your tissue, accessed under the skin. It's deemed 'simple' if the object is easy to reach and doesn't require complex maneuvers or extensive tissue damage for extraction.

34 services25 patients

Incision and repair of bony defect of cheek bone including bony segment reduction 21209

This procedure involves making a cut to access the cheek bone that has a defect. The bone is then repaired, and if necessary, a portion of it is reduced or reshaped. The aim is to restore the normal structure and function of the cheek bone.

30 services23 patients

Repair of lower jaw bone with bone graft 21215

This procedure involves the use of bone grafts to repair defects or damages in your lower jaw bone. A bone graft is a piece of bone taken from another part of your body or a special bone material. It helps stimulate new bone growth and provide structural stability.

18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92867 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ETEMADIEH DENTAL CORP.

Dentist

665 N TUSTIN ST STE W
ORANGE, CA 92867

Orange County (714) 628-9910

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 Ali-reza Etemadieh's NPI number?

The NPI number for Ali-reza Etemadieh is 1598019739. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Where is Ali-reza Etemadieh located?

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

What is Ali-reza Etemadieh's specialty?

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

Is Ali-reza Etemadieh enrolled in Medicare?

Yes. Ali-reza Etemadieh is registered in the Medicare PECOS enrollment system.

What insurance does Ali-reza Etemadieh accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Ali-reza Etemadieh 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 Ali-reza Etemadieh was last updated on April 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.