Organization Active NPI

Max Mosslehi,D.M.D.,Inc

  • General Practice Dentistry
  • Tustin, CA
National Provider Identifier
1457736597
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45151 Issued in CA
Legal business name
MAX MOSSLEHI,D.M.D.,INC
Practice address
513 E 1St St
Suite a
Tustin, CA 92780-3348
Phone
(714) 838-6100
Fax
(714) 838-2403
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Dr. Majid Max Mosslehi, D.M.D
Title
Provider
Phone
(714) 838-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45151 CA Primary

Addresses

Primary practice location

513 E 1St St
Suite a
Tustin, CA 92780-3348

Mailing address

513 E 1St St
Suite a
Tustin, CA 92780-3348
Phone (714) 838-6100

National Provider Directory

National Provider Directory

Locations

513 E 1st St
Ste A
Tustin, CA 92780
Phone (714) 505-1514

17482 Irvine Blvd
Ste D
Tustin, CA 92780
Phone (714) 838-6100

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1457736597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E 1ST ST",
            "address_2": "SUITE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803348",
            "telephone_number": "714-838-6100",
            "fax_number": "714-838-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E 1ST ST",
            "address_2": "SUITE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803348",
            "telephone_number": "714-838-6100",
            "fax_number": "714-838-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX MOSSLEHI,D.M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "MOSSLEHI",
        "authorized_official_first_name": "MAJID",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "714-838-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.