NPIMap

Organization Active NPI

Ashok S.Mehta, DDS,Inc

Doing business as Southland Dental Arts

  • General Practice Dentistry
  • Tustin, CA
National Provider Identifier
1548394034
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28761 Issued in CA
Legal business name
ASHOK S.MEHTA, DDS,INC
Doing business as
Southland Dental Arts
Practice address
740 El Camino Real Ste 200
Tustin, CA 92780-4369
Phone
(714) 838-3230
Fax
(714) 838-0253
NPI assigned
Mar 15, 2007
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Dr. Ashokkumar S Mehta, DDS
Title
Owner
Phone
(714) 838-3230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28761 CA Primary

Addresses

Primary practice location

740 El Camino Real Ste 200
Tustin, CA 92780-4369

Mailing address

740 El Camino Real Ste 200
Tustin, CA 92780-4369
Phone (714) 838-3230

Other names 1

  • Southland Dental Arts Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ashok Mehta DDS5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

740 El Camino Real
Ste 200
Tustin, CA 92780
Phone (714) 838-3230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1548394034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 EL CAMINO REAL STE 200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804369",
            "telephone_number": "714-838-3230",
            "fax_number": "714-838-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 EL CAMINO REAL STE 200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804369",
            "telephone_number": "714-838-3230",
            "fax_number": "714-838-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHOK S.MEHTA, DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "ASHOKKUMAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-838-3230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southland Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.