Mohammad Mehdi Imani Emadi, DDS, MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

108351 Issued in CA

Practice address

3918 Long Beach Blvd Ste 200
Long Beach, CA 90807-2685

Phone

(562) 242-2075

NPI assigned

Sep 10, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tirakhsh Emadi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sean S Mohtashami DDS Inc

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1033934229

  Single Specialty

  NPD
• Texas Dental Implant Specialists, PC

  • Dentist
  • Dallas, TX
  • NPI 1215638523

  Prosthodontics

  NPD (past)

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1629627716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 LONG BEACH BLVD STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072685",
            "telephone_number": "562-242-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 LONG BEACH BLVD STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072685",
            "telephone_number": "562-242-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMANI EMADI",
        "first_name": "MOHAMMAD",
        "middle_name": "MEHDI",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "35710",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "108351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIRAKHSH",
            "last_name": "EMADI",
            "credential": "DDS, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Prosthodontics in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.