Mehdi Lee Ghavam, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8425 Issued in OR

Practice address

277 5TH St
Ashland, OR 97520-2058

Phone

(541) 482-1744

Fax

(541) 482-4128

NPI assigned

Jan 6, 2009

Last updated

Jan 6, 2009By the provider in NPPES

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brian Kitchell

  • Dentist
  • Ashland, OR
  • NPI 1336548833
  NPD (past)
• Dr. Daniel Dewey Jackson DDS

  • General Practice Dentistry
  • Ashland, OR
  • NPI 1881813798
  NPD (past)

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1053557447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 5TH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202058",
            "telephone_number": "541-482-1744",
            "fax_number": "541-482-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 5TH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202058",
            "telephone_number": "541-482-1744",
            "fax_number": "541-482-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAVAM",
        "first_name": "MEHDI",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly A Gaudin, LMT
• Bonnie Rose Geiger, PH.D.
• Abraham Genack, MD
• George Lescher Physical Therapy LLC
• Julie Marie George
• Paul W Giancarlo
• Tristan Giannini
• Barrett Gifford, LD
• William L Gillock Jr., MPT
• Sara Glass

• General Practice Dentistry in Ashland, OR
• Providers in Ashland, 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 Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.