Mehdipour DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MEHDIPOUR DMD PC

Practice address

1401 Guerneville Rd Ste 300
Santa Rosa, CA 95403-4174

Phone

(707) 800-8002

Fax

(707) 800-8004

NPI assigned

Dec 21, 2024

Organization subpart

No

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

Authorized official

Name

Navid MehdipourNPI 1629557996

Title

Owner

Phone

(213) 905-1073

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Navid Mehdipour

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1629557996
  NPD Authorized official

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

{
    "created_epoch": "1734739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1164230165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 ESPRESSO CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GUERNEVILLE RD STE 300",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954034174",
            "telephone_number": "707-800-8002",
            "fax_number": "707-800-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHDIPOUR DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "MEHDIPOUR",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-905-1073"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Elyse Medina, NP
• Loi C Medvin, M.A., PSY.D.
• Michael L. Medvin, M.D.
• Avery Meek
• Stephen Meffert, M.D.
• Navid Mehdipour
• Ketan C Mehta, M.D.
• Tamana Mehta
• Yukta Mehtaji
• Esmeralda Mejia Perez

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.