Individual provider Active NPI

Michelle Mehri Haghpanah, D.D.S, M.P.H

  • Pediatric Dentistry
  • Palo Alto, CA
National Provider Identifier
1154555894
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
60162 Issued in CA
Practice address
853 Middlefield Rd Ste 2
Palo Alto, CA 94301
Phone
(650) 322-9837
Fax
(650) 600-8019
NPI assigned
May 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 055141 NY
Pediatric Dentistry 1223P0221X 60162 CA Primary
Pediatric Dentistry 1223P0221X 010192 CT

Addresses

Primary practice location

853 Middlefield Rd Ste 2
Palo Alto, CA 94301

Mailing address

1480 Saratoga Ave
Saratoga, CA 95070-3612
Phone (408) 866-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170106000807 CA Order and Referring Only - DentistPractitioner - Dentist 7113208133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010192CTMDClinical Social Worker
055141NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Haghpanah Dental Corporation Pediatric Dentistry Current Accepting new patients

Locations

853 Middlefield Rd
Ste 2
Palo Alto, CA 94301
Phone (650) 322-1100

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.

NPI Registry JSON

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

{
    "created_epoch": "1241913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1154555894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 SARATOGA AVE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950703612",
            "telephone_number": "408-866-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 MIDDLEFIELD RD STE 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94301",
            "telephone_number": "650-322-9837",
            "fax_number": "650-600-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGHPANAH",
        "first_name": "MICHELLE",
        "middle_name": "MEHRI",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-10",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "055141",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "60162",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "010192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.