Organization Active NPI

Amar Mahdi Dental Inc

  • Dental Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1235802497
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMAR MAHDI DENTAL INC
Practice address
9141 E Stockton Blvd Ste 230
Elk Grove, CA 95624-9502
Phone
(505) 615-4998
NPI assigned
Jul 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Authorized official

Name
Dr. Amar Mahdi, DDSNPI 1952766297
Title
Dentist
Phone
(505) 615-4998

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9141 E Stockton Blvd Ste 230
Elk Grove, CA 95624-9502

Mailing address

3025 Beardsley Way
Roseville, CA 95661-2533
Phone (505) 615-4998

National Provider Directory

National Provider Directory

Locations

9141 E Stockton Blvd
Ste 230
Elk Grove, CA 95624
Phone (505) 615-4998

Practitioners & affiliated clinicians

Practitioners 1

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": "1627171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627171200000",
    "number": "1235802497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BEARDSLEY WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612533",
            "telephone_number": "505-615-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9141 E STOCKTON BLVD STE 230",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249502",
            "telephone_number": "505-615-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAR MAHDI DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A",
        "authorized_official_last_name": "MAHDI",
        "authorized_official_first_name": "AMAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-615-4998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.