Active NPI
Mehran Roointan
- Dentist
- Glendale, CA
National Provider Identifier
1114477239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100303
- Practice address
- 950 N Louise St
Apt# 207
Glendale, CA 91207-2052 - Phone
- (949) 903-8533
- NPI assigned
- Oct 13, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100303 | CA | Primary |
Addresses
Primary practice location
950 N Louise St
Apt# 207
Glendale, CA 91207-2052
Mailing address
950 N Louise St
Apt# 207
Glendale, CA 91207-2052
Phone (949) 903-8533
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 |
|---|---|---|---|
| 100303 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mehran Roointan DDS Inc | Current | Accepting new patients |
Organizations & group practices 1
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
- Whittier, CA
- NPI 1699413385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1114477239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N LOUISE ST",
"address_2": "APT# 207",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912072052",
"telephone_number": "949-903-8533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N LOUISE ST",
"address_2": "APT# 207",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912072052",
"telephone_number": "949-903-8533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOINTAN",
"first_name": "MEHRAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-13",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.