Mandana Mahdi, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

6734824 Issued in UT

Practice address

1543W 12600S
Unit 101
Riverton, UT 84065

Phone

(801) 996-8282

Fax

(801) 996-8336

NPI assigned

Jan 15, 2008

Last updated

Mar 23, 2016By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1083890537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 W 12600 S",
            "address_2": "UNIT 101",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657000",
            "telephone_number": "801-996-8282",
            "fax_number": "801-996-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543W 12600S",
            "address_2": "UNIT 101",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84065",
            "telephone_number": "801-996-8282",
            "fax_number": "801-996-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHDI",
        "first_name": "MANDANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "6734824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sariah P Machado-Lovon
• Yvonia Marie Maclee
• Lori Madsen-Owen
• Kennan James Madsen
• Kaitlin Magnusson
• Sydney Marino, LMFT
• Mark R Elkins DPM PC
• Emily Anne Martin, CMHC
• Kelsey Martin
• Sarah Martin

• Dentist in Riverton, UT
• Providers in Riverton, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.