Maryam Ekhtiar DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARYAM EKHTIAR DDS INC

Doing business as

Maryam Ekhtiar DDS Inc

Practice address

26691 Plaza Ste 215
Mission Viejo, CA 92691-6329

Phone

(949) 364-1171

Fax

(949) 424-8840

NPI assigned

Feb 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Maryam Ekhtiar, DDSNPI 1093928632

Title

Dentist

Phone

(949) 364-1171

Specialties & licenses 1

Addresses

Other names 1

• Maryam Ekhtiar DDS Inc Doing business as

Locations

Practitioners 1

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

• Maryam Ekhtiar, D.D.S.

  • Dentist
  • San Juan Capistrano, CA
  • NPI 1093928632
  NPD Authorized official

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1033742960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26691 PLAZA STE 215",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916329",
            "telephone_number": "949-364-1171",
            "fax_number": "949-424-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26691 PLAZA STE 215",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916329",
            "telephone_number": "949-364-1171",
            "fax_number": "949-424-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Newport Center Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607504",
            "country_code": "US",
            "telephone_number": "949-423-3692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYAM EKHTIAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "EKHTIAR",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-364-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryam Ekhtiar DDS Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ericka Martinez, MS
• Jackelin Liseth Martinez
• Lauren Krista Martinez
• Marvin D Posner M D and Vivien L Pan M D a Medical Corporation (Perinatal Associates of Orange County)
• Mary Jean Oconnor Registered Nursing Family Nurse Practitioner
• Kaveh Mashkouri, PA-C
• Shalita Masih-Antebi, O.D.
• Alyssa Mone'T Mason-Martindelcampo, ACSW
• Sedigheh E Masoum, DDS
• Becca Massip

• Dental Clinic/Center in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.