Organization Active NPI

Mojgan Bonakdar,DDS&Mehran S ,Nazar,DDS,Inc

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1093928145
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44957 Issued in CA
Legal business name
MOJGAN BONAKDAR,DDS&MEHRAN S ,NAZAR,DDS,INC
Practice address
6160 Bollinger Rd
San Jose, CA 95129-3068
Phone
(408) 446-3200
Fax
(408) 446-3288
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Mehran S Nazar, DDSNPI 1316966799
Title
President
Phone
(408) 446-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44957 CA Primary

Addresses

Primary practice location

6160 Bollinger Rd
San Jose, CA 95129-3068

Mailing address

6160 Bollinger Rd
San Jose, CA 95129-3068
Phone (408) 446-3200

National Provider Directory

National Provider Directory

Locations

6160 Bollinger Rd
San Jose, CA 95129
Phone (408) 446-3200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1093928145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 BOLLINGER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293068",
            "telephone_number": "408-446-3200",
            "fax_number": "408-446-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 BOLLINGER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293068",
            "telephone_number": "408-446-3200",
            "fax_number": "408-446-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJGAN BONAKDAR,DDS&MEHRAN S ,NAZAR,DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "NAZAR",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-446-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.