Maysam Magid Salehpour

Primary specialty

DentistTaxonomy code 122300000X

License

61527 Issued in CA

Practice address

5153 Jackson Dr
La Mesa, CA 91942-9021

Phone

(619) 460-2280

Fax

(619) 460-2285

NPI assigned

Apr 22, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Salehpour Dental Corp

  dba Kind Dental of La Mesa

  • Dental Clinic/Center
  • La Mesa, CA
  • NPI 1063099430
  NPD Authorized official

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1083058986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 JACKSON DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429021",
            "telephone_number": "949-280-3009",
            "fax_number": "619-460-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 JACKSON DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429021",
            "telephone_number": "619-460-2280",
            "fax_number": "619-460-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEHPOUR",
        "first_name": "MAYSAM",
        "middle_name": "MAGID",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61527",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Sahatdjian
• Bradley Udell Sainsbury, DDS, MS
• Saint Francis Healthcare, Inc.
• Leandra Salama
• Salehpour Dental Corp (Kind Dental of La Mesa)
• Ahmed Adel Salem, D.O.
• Meghan-Kirstie Salvador, MSN, RN
• Fernie Salvatierra
• Sam Elsheikh MD Inc
• Samer R. Namoo DDS, Inc (La Mesa Smiles & Family Dentistry)

• Dentist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.