Individual provider Active NPI

Mark Mahbod Rashidi, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mission Viejo, CA
National Provider Identifier
1003056409
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
60349 Issued in CA
Practice address
27725 Santa Margarita Pkwy Ste 241
Mission Viejo, CA 92691-6708
Phone
(310) 920-9925
NPI assigned
Feb 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5762 NV
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 27088 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 60349 CA Primary

Addresses

Primary practice location

27725 Santa Margarita Pkwy Ste 241
Mission Viejo, CA 92691-6708

Mailing address

3625 Vista Way
Oceanside, CA 92056-4522
Phone (310) 920-9925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60349CAMDOrthodontics and Dentofacial Orthopedic Dentist
27088TXMDOrthodontics and Dentofacial Orthopedic Dentist
5762NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rashidi DDS, Inc. Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Locations

27725 Santa Margarita Pkwy
Ste 241
Mission Viejo, CA 92691
Phone (949) 215-7730

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1003056409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "310-920-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY STE 241",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916708",
            "telephone_number": "310-920-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHIDI",
        "first_name": "MARK",
        "middle_name": "MAHBOD",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5762",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "27088",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "60349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.