Mahyar Lotfi, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN 21268 Issued in FL

Practice address

1455 State Road 436 Ste 101
Casselberry, FL 32707-6514

Phone

(407) 708-9228

NPI assigned

Jun 11, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nosti and Gill Dental Corporatiom

  • General Practice Dentistry
  • Petaluma, CA
  • NPI 1205262664
  NPD (past)

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1114308442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 HYLAND DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042229",
            "telephone_number": "858-342-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 STATE ROAD 436 STE 101",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076514",
            "telephone_number": "407-708-9228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Kenilworth Dr Ste 960",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949523406",
            "country_code": "US",
            "telephone_number": "707-789-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTFI",
        "first_name": "MAHYAR",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS100138",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liminal Journey Counseling LLC
• Lincare Inc.
• Gabrielle Lindner
• Bryan A Littler, PHARMD
• Brianna Livingston
• Love & Light Home Care Services LLC
• Amabel Tangunan Lubaton, ARNP
• Stephanie Lutz, RBT
• Luxottica of America Inc
• Luxottica of America Inc.

• Dentist in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.