Provider Type Icon

AL SHYSTE MANESH DMD NPI 1124241575


NPI Information

NPI: 1124241575
Provider Name: AL SHYSTE MANESH, DMD
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

PECOS Registration: Yes

Address:
24953 PASEO DE VALENCIA STE 13C
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 600-7123
Get Directions

Al Shyste Manesh, DMD is a periodontics dentist in Laguna Hills, CA with 31 years of experience. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Al Shyste Manesh, DMD NPI is 1124241575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH & SCIENCES UNIV SCHOOL OF DENTISTRY
Graduation Year:1993

The provider's business location address is:

24953 PASEO DE VALENCIA STE 13C
LAGUNA HILLS, CA
ZIP 92653-344
Phone: (949) 600-7123
Fax: (949) 364-2870

The NPI 1124241575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/11/2007 and was last updated on 11/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist48376CALIFORNIANo
21223P0300XDentistPeriodontics48376CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.