Individual provider Active NPI

Rouhina Mehregan, DDS

  • General Practice Dentistry
  • Chino, CA
National Provider Identifier
1326322009
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62310 Issued in CA
Practice address
4673 Riverside Dr Ste D
Chino, CA 91710-5905
Phone
(909) 627-7977
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X LL-244-11 NV
General Practice Dentistry 1223G0001X 62310 CA Primary

Addresses

Primary practice location

4673 Riverside Dr Ste D
Chino, CA 91710-5905

Mailing address

4673 Riverside Dr Ste D
Chino, CA 91710-5905
Phone (909) 627-7977

Other practice location 1

1700 W Charleston Blvd
Ortho Program Bldg D
Las Vegas, NV 89102-2335
Phone (702) 774-2816

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
62310CAMDGeneral Practice Dentistry
LL-244-11NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents, Nevada System of Higher Education 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1326322009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4673 RIVERSIDE DR STE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105905",
            "telephone_number": "909-627-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4673 RIVERSIDE DR STE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105905",
            "telephone_number": "909-627-7977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W Charleston Blvd",
            "address_2": "Ortho Program Bldg D",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022335",
            "country_code": "US",
            "telephone_number": "702-774-2816",
            "fax_number": "702-774-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHREGAN",
        "first_name": "ROUHINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "LL-244-11",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.