Active NPI
Ashkan Mahdavi, D.M.D., M.B.A.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Seminole, FL
National Provider Identifier
1568914851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN015279
- Practice address
- 9800 Sago Point Dr
Seminole, FL 33777-4902 - Phone
- (848) 346-4380
- NPI assigned
- Nov 2, 2016
- Last updated
- Jan 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN015279 | GA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN015279 | GA | Primary |
Addresses
Primary practice location
9800 Sago Point Dr
Seminole, FL 33777-4902
Mailing address
4775 Del Moreno PL
Woodland Hills, CA 91364-4634
Phone (818) 346-4380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015279 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abm Orthodontics PA | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Pda Ortho Specialty of Georgia, LLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ABM Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Clearwater, FL
- NPI 1790642791
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Acworth, GA
- NPI 1982169173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1568914851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4775 DEL MORENO PL",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913644634",
"telephone_number": "818-346-4380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 SAGO POINT DR",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337774902",
"telephone_number": "848-346-4380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHDAVI",
"first_name": "ASHKAN",
"name_prefix": "Dr.",
"credential": "D.M.D., M.B.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-02",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN015279",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN015279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.