Individual provider Active NPI

Mohammad Reza Owji, D.D.S.

  • General Practice Dentistry
  • Orange Cove, CA
National Provider Identifier
1306914650
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53844 Issued in CA
Practice address
530 6TH St
Orange Cove, CA 93646-2137
Phone
(559) 626-4547
NPI assigned
Dec 2, 2006
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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 53844 CA Primary

Addresses

Primary practice location

530 6TH St
Orange Cove, CA 93646-2137

Mailing address

530 6TH St
Orange Cove, CA 93646-2137
Phone (559) 441-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53844CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Owjidentalcorporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1306914650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 6TH ST",
            "city": "ORANGE COVE",
            "state": "CA",
            "postal_code": "936462137",
            "telephone_number": "559-441-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 6TH ST",
            "city": "ORANGE COVE",
            "state": "CA",
            "postal_code": "936462137",
            "telephone_number": "559-626-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWJI",
        "first_name": "MOHAMMAD",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Cove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.