Organization Active NPI

Ensieh Mazaheri DDS Inc

  • Dentist
  • Pasadena, CA
National Provider Identifier
1528367208
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ENSIEH MAZAHERI DDS INC
Practice address
929 N Orange Grove Blvd # B
Pasadena, CA 91103-3354
Phone
(626) 449-3701
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Ensieh Mazaheri
Title
Ceo
Phone
(818) 378-8054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

929 N Orange Grove Blvd # B
Pasadena, CA 91103-3354

Mailing address

929 N Orange Grove Blvd # B
Pasadena, CA 91103-3354

National Provider Directory

National Provider Directory
Tax ID family
Ensieh Mazaheri DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

929 N Orange Grove Blvd
#B
Pasadena, CA 91103
Phone (626) 449-3701

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1528367208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N ORANGE GROVE BLVD # B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N ORANGE GROVE BLVD # B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033354",
            "telephone_number": "626-449-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSIEH MAZAHERI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "MAZAHERI",
        "authorized_official_first_name": "ENSIEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-378-8054"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.