Dhara Mehta Dental Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DHARA MEHTA DENTAL PROFESSIONAL CORPORATION

Practice address

1572 Sycamore Ave Ste G
Hercules, CA 94547-1772

Phone

(510) 799-9345

NPI assigned

Mar 12, 2025

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dhara MehtaNPI 1407102361

Title

Owner

Phone

(312) 952-9768

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dhara Mehta, DDS

  • Dentist
  • Santa Maria, CA
  • NPI 1407102361
  NPD Authorized official
• Justin Chou, DDS

  • Dentist
  • Hercules, CA
  • NPI 1881303493
  NPD
• Maria L Carpio, DMD

  • Dentist
  • Hercules, CA
  • NPI 1710902663
  NPD (past)

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1306645114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 SYCAMORE AVE STE G",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471772",
            "telephone_number": "510-799-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 SYCAMORE AVE STE G",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471772",
            "telephone_number": "510-799-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHARA MEHTA DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "DHARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-952-9768"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmer De Leon, DDS
• Phinnillipa Degruy
• Gilad Dekel, R.PH.
• Julian Delgadillo
• Thomas Martin Desimio, RN
• Fran M Didomenicis, PH.D.
• Heather Isabel Divine
• Amrit Dosanjh
• Douglas Lin, DDS, Inc (Hercules Dental Care)
• Dung Optometric Group

• Dental Clinic/Center in Hercules, CA
• Providers in Hercules, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.