Individual provider Active NPI

Mehri Safari DDS., D.D.S.

  • Dentist
  • Huntington Beach, CA
National Provider Identifier
1619127180
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51033 Issued in CA
Practice address
16511 Goldenwest St Ste 101
Huntington Beach, CA 92647-4484
Phone
(714) 848-9200
Fax
(714) 375-6357
NPI assigned
Sep 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51033 CA Primary

Addresses

Primary practice location

16511 Goldenwest St Ste 101
Huntington Beach, CA 92647-4484

Mailing address

16511 Goldenwest St Ste 101
Huntington Beach, CA 92647-4484
Phone (714) 848-9200

Other names 1

  • Dr. Mehri Safari Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mehri Safari, DDS, a Professional Dental Corporation CurrentSince Sep 28, 2021 Accepting new patients

Locations

16511 Goldenwest St
Ste 101
Huntington Beach, CA 92647
Phone (714) 848-2900

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": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1619127180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16511 GOLDENWEST ST STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474484",
            "telephone_number": "714-848-9200",
            "fax_number": "714-375-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16511 GOLDENWEST ST STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474484",
            "telephone_number": "714-848-9200",
            "fax_number": "714-375-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFARI DDS.",
        "first_name": "MEHRI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHRI",
            "last_name": "SAFARI",
            "prefix": "DR.",
            "credential": "DDS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.