Individual provider Active NPI

Navid Mehranpour, D.D.S.

  • Dentist
  • Fairfield, CA
National Provider Identifier
1578990099
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63000 Issued in CA
Practice address
1545 N Texas St Ste 311
Fairfield, CA 94533-5623
Phone
(707) 422-2410
NPI assigned
Sep 29, 2013
Last updated
May 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63000 CA Primary

Addresses

Primary practice location

1545 N Texas St Ste 311
Fairfield, CA 94533-5623

Mailing address

1545 N Texas St Ste 311
Fairfield, CA 94533-5623
Phone (707) 422-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151204001371 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7517267040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Navid Mehranpour DDS, Dental Corp. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1380412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1578990099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 N TEXAS ST STE 311",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335623",
            "telephone_number": "707-422-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N TEXAS ST STE 311",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335623",
            "telephone_number": "707-422-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRANPOUR",
        "first_name": "NAVID",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-29",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.