Mejia Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

49779 Issued in CA

Legal business name

MEJIA DENTAL CORPORATION

Doing business as

Oasis Dental Group & Orthodontics

Practice address

45841 Oasis St Ste 3
Indio, CA 92201-4505

Phone

(760) 408-6883

Fax

(760) 342-0808

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Javier Mejia, DDS

Title

Dentist

Phone

(760) 408-6883

Specialties & licenses 1

Addresses

Other names 1

• Oasis Dental Group & Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1205294220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45841 OASIS ST STE 3",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014505",
            "telephone_number": "760-408-6883",
            "fax_number": "760-342-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45841 OASIS ST STE 3",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014505",
            "telephone_number": "760-408-6883",
            "fax_number": "760-342-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEJIA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-408-6883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Dental Group & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tahlib James McMicheaux I
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• Alexandra Medina-Morin
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• Joel Mejia, RADT
• Maria Gesel Mejia
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• Mildred Lotty Mendez-Andrews, ASSOC CLIN SOC WKR
• Makayla Marie Mendez-Torres

• Dentist in Indio, CA
• Providers in Indio, CA by specialty
• Dentist in California

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

Verify at the official NPI Registry.