NPIMap

Organization Active NPI

Farhad Mazi, DDS, a Professional Corporation

Doing business as Apple Dental Center

  • General Practice Dentistry
  • Apple Valley, CA
National Provider Identifier
1063543577
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48832 Issued in CA
Legal business name
FARHAD MAZI, DDS, A PROFESSIONAL CORPORATION
Doing business as
Apple Dental Center
Practice address
19190 US Highway 18
Suite a
Apple Valley, CA 92307-2558
Phone
(760) 242-7753
Fax
(760) 946-1122
NPI assigned
Mar 8, 2007
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Farhad Mazi, D.D.S.NPI 1730244476
Title
President Dentist
Phone
(760) 242-7753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 48832 CA Primary

Addresses

Primary practice location

19190 US Highway 18
Suite a
Apple Valley, CA 92307-2558

Mailing address

19190 US Highway 18
Suite a
Apple Valley, CA 92307-2558
Phone (760) 242-7753

Other identifiers 2

IdentifierTypeStateIssuer
G92354-01MedicaidCA
G89141-01MedicaidCA

Other names 1

  • Apple Dental Center Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1063543577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19190 US HIGHWAY 18",
            "address_2": "SUITE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072558",
            "telephone_number": "760-242-7753",
            "fax_number": "760-946-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19190 US HIGHWAY 18",
            "address_2": "SUITE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072558",
            "telephone_number": "760-242-7753",
            "fax_number": "760-946-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHAD MAZI, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "MAZI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "760-242-7753",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G92354-01",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G89141-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.