Mehrdad Hairani

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10960 Issued in OR

Practice address

3030 SE Monroe St
Milwaukie, OR 97222-6637

Phone

(503) 659-7676

NPI assigned

Apr 3, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mehrdad Hairani DDS LLC

  • Dental Clinic/Center
  • Milwaukie, OR
  • NPI 1811640436
  NPD Authorized official
• Dentalcare LLC

  • Dental Clinic/Center
  • Tillamook, OR
  • NPI 1316544935
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1023514627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 SE MONROE ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226637",
            "telephone_number": "503-659-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 SE MONROE ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226637",
            "telephone_number": "503-659-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRANI",
        "first_name": "MEHRDAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sammie Lillian Dean Haddad-Scott
• Sheva Elizabeth Hafizi
• Donetta M. Hagebusch, PTA
• Elizabeth Lynn Hagewood, MA CCC SLP
• Melissa Dawn Haight, LMT
• Deanne C Haisch, M.A.
• Amanda Halbert
• Carrie Lynn Hale, LMT
• Toby A Hale, OTR
• Madison Grace Hall

• General Practice Dentistry in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.