Active NPI
Mohammad Nikahd
- Dentist
- Corona, CA
National Provider Identifier
1104181916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100044
- Practice address
- 720 Magnolia Ave Ste C1
Corona, CA 92879-3119 - Phone
- (951) 737-1092
- NPI assigned
- Jul 8, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28136 | TX | |
| Dentist | 122300000X | 100044 | CA | Primary |
Addresses
Primary practice location
720 Magnolia Ave Ste C1
Corona, CA 92879-3119
Mailing address
22691 Foxridge
Mission Viejo, CA 92692-4730
Phone (832) 605-3938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100044 | CA | MD | Dentist |
| 28136 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nikahd Dental Inc | Current | Accepting new patients | |
| Cox Dental Coprporation | Past | Accepting new patients |
Locations
720 Magnolia Ave
Ste C1
Corona, CA 92879
Phone (951) 737-1092
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Corona, CA
- NPI 1720610231
-
- General Practice Dentistry
- Costa Mesa, CA
- NPI 1396966248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1104181916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22691 FOXRIDGE",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926924730",
"telephone_number": "832-605-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 MAGNOLIA AVE STE C1",
"city": "CORONA",
"state": "CA",
"postal_code": "928793119",
"telephone_number": "951-737-1092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKAHD",
"first_name": "MOHAMMAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-08",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28136",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.