Organization Active NPI

Mahendrakumar Mehta DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pomona, CA
National Provider Identifier
1003941881
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MAHENDRAKUMAR MEHTA DDS INC
Doing business as
Dr. Mehta's Grove Dental Office
Practice address
3167 N. Garey Ave
Pomona, CA 91767
Phone
(909) 596-7700
Fax
(909) 392-4697
NPI assigned
Feb 22, 2007
Organization subpart
Yes
Parent organization
MAHENDRAKUMAR MEHTA DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Mahendrakumar Mehta, BDS
Title
Owner
Phone
(909) 596-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 29373 CA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

3167 N. Garey Ave
Pomona, CA 91767

Mailing address

3167 N. Garey Ave
Pomona, CA 91767
Phone (909) 596-7700

Other names 1

  • Dr. Mehta's Grove Dental Office Doing business as

National Provider Directory

National Provider Directory
Part of
Mahendrakumar Mehta DDS Inc

Locations

3167 N Garey Ave
Pomona, CA 91767
Phone (909) 596-7700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1003941881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 N. GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-596-7700",
            "fax_number": "909-392-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 N. GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-596-7700",
            "fax_number": "909-392-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHENDRAKUMAR MEHTA DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAHENDRAKUMAR MEHTA DDS INC",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "MAHENDRAKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-596-7700",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "29373",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Mehta's Grove Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.