Nima Mashhoon, DMD, Ms Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NIMA MASHHOON, DMD, MS INC

Doing business as

Modern Smile Dentistry

Practice address

2151 S College Dr Ste 103
Santa Maria, CA 93455-1304

Phone

(805) 934-4000

Fax

(805) 803-1999

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nima Mashhoon, DMDNPI 1922651389

Title

Dentist

Phone

(805) 934-4000

Specialties & licenses 2

Addresses

Other names 1

• Modern Smile Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nima Mashhoon, DMD, MS

  • Dentist
  • Santa Maria, CA
  • NPI 1922651389
  NPD Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1528713534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S COLLEGE DR STE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551304",
            "telephone_number": "805-934-4000",
            "fax_number": "805-803-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S COLLEGE DR STE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551304",
            "telephone_number": "805-934-4000",
            "fax_number": "805-803-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMA MASHHOON, DMD, MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "MASHHOON",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "805-934-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Smile Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Robert Nichols Jr., RN
• Kenneth Darrell Nichols, MFT
• Kelly Ann Nickols, R.N.
• David Nicola
• Nightingale Medical Group, Inc.
• Judith Atsumi Nishimori, LMFT
• Wilson Niu
• Jennifer Loraine Noakes
• Angela Noceda
• Jenna E Noenickx

• Dental Clinic/Center in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.