Mehtar Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44215 Issued in CA

Legal business name

MEHTAR DENTAL CORPORATION

Practice address

32281 Camino Capistrano
C-101
San Juan Capistrano, CA 92675-3784

Phone

(949) 661-9119

Fax

(949) 661-9114

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ghassan Mehtar, D.D.SNPI 1376620971

Title

President

Phone

(949) 661-9119

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ghassan Mehtar, D.D.S.

  • General Practice Dentistry
  • San Juan Capistrano, CA
  • NPI 1376620971
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1316159486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32281 CAMINO CAPISTRANO",
            "address_2": "C-101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-661-9119",
            "fax_number": "949-661-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32281 CAMINO CAPISTRANO",
            "address_2": "C-101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753784",
            "telephone_number": "949-661-9119",
            "fax_number": "949-661-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHTAR DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "MEHTAR",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-661-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILY",
            "identifier": "B-44215-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G-92741-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "44215",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Me Pivot Holdings LLC
• Lindsey Rose Meehleis, LINDSEY MEEHLEIS
• Meghan Richards LLC
• Mehrdokht Mehrvarzi Dental Corp.
• Mehrdokht Mehrvarzi, DDS
• Ghassan Mehtar, D.D.S.
• Memorialcare Medical Group, Inc.
• Jason Meola, DNP, APRN, FNP-BC
• Carri Lynn Merriam, NP-C
• Sirkly Messineo

• General Practice Dentistry in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.