NPIMap

Organization Active NPI

Mikaeya Kalantari Dental Corporation

  • Pediatric Dentistry
  • Mission Viejo, CA
National Provider Identifier
1124509989
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MIKAEYA KALANTARI DENTAL CORPORATION
Practice address
27725 Santa Margarita Pkwy Ste 270
Mission Viejo, CA 92691-6708
Phone
(949) 951-0951
NPI assigned
Aug 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Mikaeya Kalantari, DDSNPI 1609188994
Title
Ceo
Phone
(913) 669-8219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X CA Primary

Addresses

Primary practice location

27725 Santa Margarita Pkwy Ste 270
Mission Viejo, CA 92691-6708

Mailing address

27725 Santa Margarita Pkwy Ste 270
Mission Viejo, CA 92691-6708
Phone (949) 951-0951

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1124509989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY STE 270",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916708",
            "telephone_number": "949-951-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY STE 270",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916708",
            "telephone_number": "949-951-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKAEYA KALANTARI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "KALANTARI",
        "authorized_official_first_name": "MIKAEYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-669-8219",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.