Individual provider Active NPI

Edward Montenegro Norzagaray, D.D.S.

  • Dentist
  • Whittier, CA
National Provider Identifier
1205946118
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32156 Issued in CA
Practice address
13414 Telegraph Rd
Whittier, CA 90605-3434
Phone
(562) 903-1645
Fax
(562) 944-4459
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32156 CA Primary

Addresses

Primary practice location

13414 Telegraph Rd
Whittier, CA 90605-3434

Mailing address

13414 Telegraph Rd
Whittier, CA 90605-3434
Phone (562) 903-1645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mehran Roointan DDS Inc PastSince May 29, 2022 Accepting new patients

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205946118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13414 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053434",
            "telephone_number": "562-903-1645",
            "fax_number": "562-944-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13414 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053434",
            "telephone_number": "562-903-1645",
            "fax_number": "562-944-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORZAGARAY",
        "first_name": "EDWARD",
        "middle_name": "MONTENEGRO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.