Active NPI
Max Mosslehi,D.M.D.,Inc
- General Practice Dentistry
- Tustin, CA
National Provider Identifier
1457736597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45151
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.