Individual provider Active NPI

Mohammad Reshad, DDS, MS

  • Periodontics
  • Mission Viejo, CA
National Provider Identifier
1477068906
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
105699 Issued in CA
Practice address
27871 Medical Center Rd Ste 260
Mission Viejo, CA 92691-6406
Phone
(949) 364-2850
NPI assigned
Dec 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 105699 CA Primary

Addresses

Primary practice location

27871 Medical Center Rd Ste 260
Mission Viejo, CA 92691-6406

Mailing address

27871 Medical Center Rd Ste 260
Mission Viejo, CA 92691-6406
Phone (949) 364-2850

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220823003555 CA Practitioner - Oral Surgery 9638552656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
105699CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kalashini Miller DDS PC CurrentSince May 12, 2022 Accepting new patients
Reshad Dental Corp Periodontics CurrentSince Aug 3, 2025 Accepting new patients
Ajay Setya, DDS, Inc PastSince Aug 3, 2025 Accepting new patients

Locations

27871 Medical Center Rd
Ste 260
Mission Viejo, CA 92691
Phone (949) 363-2850

73929 Larrea St
Ste 2
Palm Desert, CA 92260
Phone (760) 340-1030

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1477068906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD STE 260",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916406",
            "telephone_number": "949-364-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD STE 260",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916406",
            "telephone_number": "949-364-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESHAD",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-06",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "105699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.