Mehran Malakpour, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D010860 Issued in AZ

Practice address

5311 E Broadway Blvd
Tucson, AZ 85711-3710

Phone

(602) 314-9977

NPI assigned

Sep 3, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1504396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245758846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9081 W BLUE SAGUARO ST",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856531424",
            "telephone_number": "602-314-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113710",
            "telephone_number": "602-314-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAKPOUR",
        "first_name": "MEHRAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-03",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010860",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D010860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George J Makol, MD
• John Makoni, M.D.
• Devion Makres
• Harvey Maksvytis, MD
• Celeste Angelique Malaby, PHARM D
• Thomas P Malan, MD, PHD
• Steven Anthony Malangone, NP
• Monica Malapit, PHARMD
• Lauren Malaya, MD
• Imelda Maldonado

• Endodontics in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.