Organization Active NPI

Chetan K Mehta DMD MSD Inc

  • Endodontics
  • Tustin, CA
National Provider Identifier
1285543025
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
CHETAN K MEHTA DMD MSD INC
Practice address
13372 Newport Ave Ste C
Tustin, CA 92780-3426
Phone
(714) 838-1238
Fax
(714) 838-9586
NPI assigned
Sep 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

13372 Newport Ave Ste C
Tustin, CA 92780-3426

Mailing address

13372 Newport Ave Ste C
Tustin, CA 92780-3426
Phone (714) 838-1238

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1285543025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13372 NEWPORT AVE STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803426",
            "telephone_number": "714-838-1238",
            "fax_number": "714-838-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13372 NEWPORT AVE STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803426",
            "telephone_number": "714-838-1238",
            "fax_number": "714-838-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHETAN K MEHTA DMD MSD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.