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

Last updated

Dec 13, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sean S Mohtashami DDS Inc

  dba 4M Dental Implant Center

  • 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.