NPIMap

Organization Active NPI

Farzin Mehrdad D.D.S. Inc

  • Dental Clinic/Center
  • Costa Mesa, CA
National Provider Identifier
1124351374
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
47127 Issued in CA
Legal business name
FARZIN MEHRDAD D.D.S. INC
Practice address
1175 Baker St
A-4
Costa Mesa, CA 92626-4101
Phone
(714) 545-9990
Fax
(714) 545-7108
NPI assigned
Sep 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Farzin Mehrdad, D.D.S.
Title
Dentist/Owner/Director
Phone
(714) 545-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 47127 CA Primary

Addresses

Primary practice location

1175 Baker St
A-4
Costa Mesa, CA 92626-4101

Mailing address

1175 Baker St
A-4
Costa Mesa, CA 92626-4101
Phone (714) 545-9990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1124351374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 BAKER ST",
            "address_2": "A-4",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264101",
            "telephone_number": "714-545-9990",
            "fax_number": "714-545-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 BAKER ST",
            "address_2": "A-4",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264101",
            "telephone_number": "714-545-9990",
            "fax_number": "714-545-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARZIN MEHRDAD D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "MEHRDAD",
        "authorized_official_first_name": "FARZIN",
        "authorized_official_title_or_position": "DENTIST/OWNER/DIRECTOR",
        "authorized_official_telephone_number": "714-545-9990",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "47127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.