NPIMap

Organization Active NPI

Ashok Mehta, DDS

Doing business as Imperial Dental Care

  • General Practice Dentistry
  • Brea, CA
National Provider Identifier
1073647566
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28761 Issued in CA
Legal business name
ASHOK MEHTA, DDS
Doing business as
Imperial Dental Care
Practice address
200 E Imperial Hwy
Brea, CA 92821-4925
Phone
(714) 671-9999
Fax
(714) 671-0597
NPI assigned
Mar 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ashok Mehta, DDS
Title
Owner
Phone
(714) 671-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28761 CA Primary

Addresses

Primary practice location

200 E Imperial Hwy
Brea, CA 92821-4925

Mailing address

200 E Imperial Hwy
Brea, CA 92821-4925
Phone (714) 671-9999

Other names 1

  • Imperial Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ashok Mehta DDS5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 E Imperial Hwy
Brea, CA 92821
Phone (714) 671-9999

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073647566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214925",
            "telephone_number": "714-671-9999",
            "fax_number": "714-671-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214925",
            "telephone_number": "714-671-9999",
            "fax_number": "714-671-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHOK MEHTA, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-671-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.