Paul Mirdamadi Oral Surgery Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PAUL MIRDAMADI ORAL SURGERY INC

Practice address

511 Encinitas Blvd Ste 118
Encinitas, CA 92024-3781

Phone

(213) 259-4867

NPI assigned

Sep 21, 2026

Organization subpart

No

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

Authorized official

Name

Paul Mirdamadi, DDS,MS

Title

Ceo/Surgeon

Phone

(213) 259-4867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1508778010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 MILAN WAY",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ENCINITAS BLVD STE 118",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243781",
            "telephone_number": "213-259-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL MIRDAMADI ORAL SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "MIRDAMADI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO/SURGEON",
        "authorized_official_telephone_number": "213-259-4867",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.