Niktash Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45598 Issued in CA

Legal business name

NIKTASH DENTAL CORPORATION

Doing business as

Paradise Dental Practice

Practice address

31726 Rancho Viejo Rd
Suite 109
San Juan Capistrano, CA 92675-2779

Phone

(949) 481-1212

Fax

(949) 258-9822

NPI assigned

May 17, 2014

Last updated

Jan 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mojgan Niktash, D.D.S.NPI 1023432937

Title

Dentist

Phone

(949) 481-2121

Specialties & licenses 1

Addresses

Other names 1

• Paradise Dental Practice 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, and the practitioner matching its NPPES authorized official.

• Mojgan Niktash, DDS

  • Dentist
  • San Juan Capistrano, CA
  • NPI 1023432937
  NPD Authorized official

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1407267974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31726 RANCHO VIEJO RD STE B-109",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752779",
            "telephone_number": "949-481-2121",
            "fax_number": "949-218-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31726 RANCHO VIEJO RD",
            "address_2": "SUITE 109",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752779",
            "telephone_number": "949-481-1212",
            "fax_number": "949-258-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKTASH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "NIKTASH",
        "authorized_official_first_name": "MOJGAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-481-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabrina Nguyen, PHARMD
• Thuytrang Diep Nguyen, M.D.
• Nicholas J Shubin DDS Inc
• Nicole E Kuske DDS Inc a Professional Corporation
• Daniella Nieto
• Mojgan Niktash, DDS
• Maria J Nin, LCSW
• Sandra Nix, M.A.
• Nobles Marriage & Family Therapy Inc
• Shelby Lynn Norberg

• General Practice Dentistry in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.