Organization Active NPI

Mark Taheri DDS. Inc

  • Preferred Provider Organization
  • Valencia, CA
National Provider Identifier
1629317318
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
58659 Issued in CA
Legal business name
MARK TAHERI DDS. INC
Practice address
25864 Tournament Rd Ste F
Valencia, CA 91355
Phone
(661) 291-6500
Fax
(661) 209-3131
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mark TaheriNPI 1598095572
Title
Dentist/Owner
Phone
(310) 991-3911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 58659 CA Primary

Addresses

Primary practice location

25864 Tournament Rd Ste F
Valencia, CA 91355

Mailing address

25864 Tournament Rd
F
Valencia, CA 91355-2339
Phone (661) 291-6500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1629317318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25864 TOURNAMENT RD",
            "address_2": "F",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552339",
            "telephone_number": "661-291-6500",
            "fax_number": "661-209-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25864 TOURNAMENT RD STE F",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-291-6500",
            "fax_number": "661-209-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK TAHERI DDS. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "TAHERI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "310-991-3911"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "58659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.