Organization Active NPI

Mojave Dental Center

  • General Practice Dentistry
  • Victorville, CA
National Provider Identifier
1528236957
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34385 Issued in CA
Legal business name
MOJAVE DENTAL CENTER
Practice address
14515 Mojave Dr
Suite A2
Victorville, CA 92394-6720
Phone
(760) 241-8090
NPI assigned
Feb 19, 2008
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Yogish P Mehta, DDS
Title
Sole Propriator
Phone
(760) 241-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34385 CA Primary

Addresses

Primary practice location

14515 Mojave Dr
Suite A2
Victorville, CA 92394-6720

Mailing address

14515 Mojave Dr
Suite A2
Victorville, CA 92394-6720
Phone (760) 241-8090

Other identifiers 1

IdentifierTypeStateIssuer
34385MedicaidCA

National Provider Directory

National Provider Directory

Locations

14515 Mojave Dr
Ste A2
Victorville, CA 92394
Phone (760) 241-8090

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1528236957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 MOJAVE DR",
            "address_2": "SUITE A2",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923946720",
            "telephone_number": "760-241-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14515 MOJAVE DR",
            "address_2": "SUITE A2",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923946720",
            "telephone_number": "760-241-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJAVE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "YOGISH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE PROPRIATOR",
        "authorized_official_telephone_number": "760-241-8090",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34385",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.