Active NPI
Mahendrakumar Mehta DDS Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pomona, CA
National Provider Identifier
1003941881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 29373 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
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.
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1700912599
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pomona, CA
- NPI 1912918939
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.