Chetan Kumar Mehta, D.M.D., M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D49597 Issued in CA

Practice address

13372 Newport Ave
Suite C
Tustin, CA 92780-3426

Phone

(714) 838-1238

Fax

(714) 838-9586

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487683702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VILLAGER",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022459",
            "telephone_number": "714-389-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13372 NEWPORT AVE",
            "address_2": "SUITE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803426",
            "telephone_number": "714-838-1238",
            "fax_number": "714-838-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "CHETAN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "D49597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medivan
• Medland Medical Inc.
• Abigail Medrano Duarte
• Megan Plakos Szabo LMFT, a Marriage and Family Therapy Corporation
• Angelina Mehta, N.D.
• Guadalupe Mejia-Sarabia, ACSW
• Cynthia Gutierrez Mejia
• Daniel Mejia
• Shannon Melcher, MD
• Elizabeth Melesio, MS, CCC-SLP

• Endodontics in Tustin, CA
• Providers in Tustin, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.