Omid Mehdipour, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS039086 Issued in PA

Practice address

7900 Old York Rd
#108A
Elkins Park, PA 19027-2318

Phone

(215) 635-0808

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mehdipour Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Anaheim, CA
  • NPI 1538740154
  NPD Authorized official
• Elkins Park Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elkins Park, PA
  • NPI 1316493471
  NPD (past)
• Elkins Park Orthodontist

  • Dental Clinic/Center
  • Elkins Park, PA
  • NPI 1780817650
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1376700336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NORTH PENN STREET",
            "address_2": "R-2101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19123",
            "telephone_number": "202-758-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 OLD YORK RD",
            "address_2": "#108A",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272318",
            "telephone_number": "215-635-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDIPOUR",
        "first_name": "OMID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS039086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea McGady
• McPeak Family Chiropractic, LLC
• Gregory Michael McPeak, D.C., C.C.R.D.
• David Meckler, MD
• Meeks Meals LLC
• Shilpi Bhadra Mehta, O.D.
• Melissa Schwartz, D.O. LLC
• Lucia A. Mettler, MSS/LSW
• Lowell D Meyerson, DO
• Michael D Birnbaum MD, PC

• Orthodontics and Dentofacial Orthopedics Dentistry in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.