Mitra Nejat-Bina, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40171 Issued in CA

Practice address

408 S Broadview St
Cape Girardeau, MO 63703-5725

Phone

(573) 339-1196

NPI assigned

Jul 7, 2017

Last updated

Jul 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1104348507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 TRABUCO CANYON WAY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "573-339-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJAT-BINA",
        "first_name": "MITRA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Naughton, MD
• Joe Neal, BS
• Shannon Delaina Neal, PHARMD
• Stephanie Jo Neal, FNP
• Tressa H Neely, CRNA
• Eric Michael Nelson, M.D.
• Rebecca Sue Nesler, PLPC
• Mary Christy Neubert, PTA
• Neurologic Associates of Cape Girardeau, Inc
• Neurological Consultants of Cape Girardeau, L.L.C.

• General Practice Dentistry in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.