Individual provider Active NPI

Mahin G Farzin, DDS

  • General Practice Dentistry
  • Newport Beach, CA
National Provider Identifier
1275747552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52980 Issued in CA
Practice address
220 Newport Center Dr Ste 3
Newport Beach, CA 92660-7507
Phone
(949) 759-9777
Fax
(949) 759-1871
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

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
General Practice Dentistry 1223G0001X 52980 CA Primary

Addresses

Primary practice location

220 Newport Center Dr Ste 3
Newport Beach, CA 92660-7507

Mailing address

220 Newport Center Dr Ste 3
Newport Beach, CA 92660-7507
Phone (949) 759-9777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20210923003179 CA Practitioner - Dentist 7517364185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of California, San Francisco School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Newport Ctr Dr
Suite 3
Newport Beach, CA 92660-7507
Phone (310) 870-9652

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mahin G Farzin, DDS Inc CurrentSince Jun 18, 2021 Accepting new patients
Mahin G Farzin DDS Inc Past Accepting new patients

Locations

220 Newport Center Dr
Ste 3
Newport Beach, CA 92660
Phone (949) 274-2799

Organizations & group practices 2

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275747552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NEWPORT CENTER DR STE 3",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607507",
            "telephone_number": "949-759-9777",
            "fax_number": "949-759-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NEWPORT CENTER DR STE 3",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607507",
            "telephone_number": "949-759-9777",
            "fax_number": "949-759-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZIN",
        "first_name": "MAHIN",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.