OrganizationActiveAccepts Medicare
Massoud Kashanchi, DDS. Prof. Corp.
NPI 1972013134 · Prosthodontics · Costa Mesa, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1972013134
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Massoud Kashanchi, Dentist(714) 662-4424
- License
- 30399 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1503 S Coast Dr
Costa Mesa, CA 92626-1534
Phone: (714) 662-4424
Street-level locationGet directions
Mailing address
1503 S. Coast Dr.
Costa Mesa, CA 92626
Other names (DBA / former)
- Doing business as
- South Coast Dental Specalists
Registry dates
- Enumerated
- 2017-10-02
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.