Mehrdokht Mehrvarzi Dental Corp.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

39184 Issued in CA

Legal business name

MEHRDOKHT MEHRVARZI DENTAL CORP.

Practice address

31952 Camino Capistrano Ste C14&C16
San Juan Capistrano, CA 92675-3229

Phone

(949) 240-6888

Fax

(949) 240-7653

NPI assigned

Feb 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mehrdokht Mehrvarzi, DDSNPI 1710194964

Title

President

Phone

(949) 240-6888

Specialties & licenses 1

Addresses

Other names 1

• San Juan Family Dentistry Doing business as

Locations

Practitioners 1

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

• Mehrdokht Mehrvarzi, DDS

  • Dentist
  • San Juan Capistrano, CA
  • NPI 1710194964
  NPD (past) Authorized official

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1407196587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31952 CAMINO CAPISTRANO STE C14&C16",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753229",
            "telephone_number": "949-240-6888",
            "fax_number": "949-240-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31952 CAMINO CAPISTRANO STE C14&C16",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753229",
            "telephone_number": "949-240-6888",
            "fax_number": "949-240-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRDOKHT MEHRVARZI DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "MEHRVARZI",
        "authorized_official_first_name": "MEHRDOKHT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-240-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "39184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dalimari Yanin McMartin
• Catherine Mary McMillan
• Me Pivot Holdings LLC
• Lindsey Rose Meehleis, LINDSEY MEEHLEIS
• Meghan Richards LLC
• Mehrdokht Mehrvarzi, DDS
• Mehtar Dental Corporation
• Ghassan Mehtar, D.D.S.
• Memorialcare Medical Group, Inc.
• Jason Meola, DNP, APRN, FNP-BC

• Dental Clinic/Center in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 Feb 26, 2013; 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.