Mehran Haidari DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

101324 Issued in CA

Legal business name

MEHRAN HAIDARI DMD PC

Practice address

5442 Ygnacio Valley Rd
Suite 70
Concord, CA 94521

Phone

(925) 524-0444

Fax

(925) 524-2472

NPI assigned

Sep 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mehran Haidari, DMD

Title

President/ Owner

Phone

(925) 524-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clayton Dental Group Doing business as

Practitioners 1

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

• Joey Mathison Salaveria, D.M.D.

  • General Practice Dentistry
  • Concord, CA
  • NPI 1346450509
  NPD (past)

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1346769452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5442 YGNACIO VALLEY RD STE 70",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213827",
            "telephone_number": "925-524-0444",
            "fax_number": "925-524-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 YGNACIO VALLEY RD",
            "address_2": "SUITE 70",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94521",
            "telephone_number": "925-524-0444",
            "fax_number": "925-524-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAN HAIDARI DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "HAIDARI",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "925-524-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "101324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598989741",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiona Medina
• Kathryn Medrano Dumapay, M.S., PPSP
• Amanda B Medrano, PSY.D
• Amara Megargee
• Terra Lynn Mehling
• Parisa Mehran, M.D
• Samarth Mehta
• Yashwant S. Mehta, M.D.
• Naeema M Mehtar
• Christine Meinhofer

• Dental Clinic/Center in Concord, CA
• Providers in Concord, 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 Sep 11, 2017; 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.