Dhara Mehta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

64197 Issued in CA

Practice address

2205 S Broadway
Santa Maria, CA 93454-7813

Phone

(805) 346-2130

NPI assigned

Jul 30, 2012

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Dhara Mehta Dental Professional Corporation

  • Dental Clinic/Center
  • Hercules, CA
  • NPI 1306645114
  NPD Authorized official
• Perla Dental of Arlington PA

  • General Practice Dentistry
  • Arlington, TX
  • NPI 1376769125
  NPD (past)

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407102361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 GIBRALTAR DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884780",
            "telephone_number": "312-952-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 S BROADWAY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547813",
            "telephone_number": "805-346-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1827 E Park Row Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760104638",
            "country_code": "US",
            "telephone_number": "817-275-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "DHARA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ezequiel Lazarus Medina
• Jessie Diane Paige Medina
• Josue Medrano
• Thomas J. Meenzhuber, PT
• Leslie Mehigan
• Aubree Ann Mejia
• Jose Alfredo Mejia
• Salvador E Melara, D.D.S.
• Carissa Nicole Melena, LCSW
• Elizabeth Christine Melena

• Dentist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.