Mayur Bharatkumar Mehta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50491 Issued in CA

Practice address

1884 1/2 S Pacific Coast Hwy
Redondo Beach, CA 90277-6117

Phone

(310) 792-4627

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Mayur Mehta DDS Inc

  • Dentist
  • Hesperia, CA
  • NPI 1194133702
  NPD Authorized official
• Mehta-Pandya Professional Dental Corp

  dba bayside dental care

  • General Practice Dentistry
  • Redondo Beach, CA
  • NPI 1720225881
  NPD (past) Authorized official
• Nhien Luu, D.D.S., Inc.

  dba Maple Dental

  • General Practice Dentistry
  • Hesperia, CA
  • NPI 1255667382
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1528115425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14466 MAIN ST STE B107",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923454664",
            "telephone_number": "760-949-7274",
            "fax_number": "760-949-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 1/2 S PACIFIC COAST HWY",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776117",
            "telephone_number": "310-792-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "MAYUR",
        "middle_name": "BHARATKUMAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50491",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Health Covers Inc
• Medical Nursing Specialties
• Medwest Orthopedics Inc
• Meghan Eaken, Licensed Marriage and Family Therapist, Inc.
• Mehta-Pandya Professional Dental Corp (bayside dental care)
• Simla Mehta
• Cole Meininger, RN
• David Roy Meldrum, M.D.
• Marcelo Daniel Mele Jr., LMT
• Stephanie Rashell Melgar-Salazar

• General Practice Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.