Active NPI
Mona Nur Ahmedin, DMD
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1023264652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31725
- Practice address
- 3671 Jasmine Ave
Appt 5
Los Angeles, CA 90034-5061 - Phone
- (617) 990-2085
- NPI assigned
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31725 | TX | Primary |
Addresses
Primary practice location
3671 Jasmine Ave
Appt 5
Los Angeles, CA 90034-5061
Mailing address
3671 Jasmine Ave
Apt. #5
Los Angeles, CA 90034-5061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Other | CA | STUDENT,HEALTH CARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31725 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1023264652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3671 JASMINE AVE",
"address_2": "APT. #5",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900345061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3671 JASMINE AVE",
"address_2": "APPT 5",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900345061",
"telephone_number": "617-990-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMEDIN",
"first_name": "MONA",
"middle_name": "NUR",
"name_prefix": "Miss",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "31725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STUDENT,HEALTH CARE",
"identifier": "1",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.