Maghiran Dental Corp

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

44029 Issued in CA

Legal business name

MAGHIRAN DENTAL CORP

Practice address

9506 Sepulveda Blvd
North Hills, CA 91343-3306

Phone

(818) 891-1136

Fax

(818) 830-5471

NPI assigned

Oct 1, 2015

Last updated

Oct 1, 2015By 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

Mr. Gani Alvero Maghiran, OFFICE MANAGER

Title

VP

Phone

(818) 486-8093

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1487024519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9506 SEPULVEDA BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433306",
            "telephone_number": "818-891-1136",
            "fax_number": "818-830-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9506 SEPULVEDA BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433306",
            "telephone_number": "818-891-1136",
            "fax_number": "818-830-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGHIRAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "MAGHIRAN",
        "authorized_official_first_name": "GANI",
        "authorized_official_middle_name": "ALVERO",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "818-486-8093",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "44029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B4402901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dexter Macario
• Anna Macedo
• Ida Phae Mack, BA
• Michele C Mack, NP
• Daniel Anthony Magana, RDHAP
• Mahdavi Dental Corporation
• Justin Maia, DC
• Gerardo Majewsky
• Paul Malabanan, MD
• Isatu Bahati Malekani, DDS

• Exclusive Provider Organization in North Hills, CA
• Providers in North Hills, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.