Organization Active NPI

Maral Khazali Dental Corporation

  • Dentist
  • Oxnard, CA
National Provider Identifier
1629637301
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARAL KHAZALI DENTAL CORPORATION
Practice address
2150 N Rose Ave
Oxnard, CA 93036-5058
Phone
(805) 604-0449
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Maral Khazali, DDS
Title
Owner
Phone
(805) 604-0449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2150 N Rose Ave
Oxnard, CA 93036-5058

Mailing address

2150 N Rose Ave
Oxnard, CA 93036-5058
Phone (805) 604-0449

Other names 1

  • Oxnard Modern Dentistry Dental Group Doing business as

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": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1629637301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N ROSE AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930365058",
            "telephone_number": "805-604-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N ROSE AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930365058",
            "telephone_number": "805-604-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARAL KHAZALI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "KHAZALI",
        "authorized_official_first_name": "MARAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-604-0449",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxnard Modern Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.