Organization Active NPI

Airport Dental Care, Practice of Dr. Mohammadi DDS, Inc

  • Dental Clinic/Center
  • Inglewood, CA
National Provider Identifier
1700215514
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
61402 Issued in CA
Legal business name
AIRPORT DENTAL CARE, PRACTICE OF DR. MOHAMMADI DDS, INC
Practice address
1117 W Manchester Blvd
Unit O
Inglewood, CA 90301-1500
Phone
(213) 271-0390
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Dr. Mohammad Mehdi Mohammadi, DDSNPI 1881958072
Title
Dentist
Phone
(213) 271-0390

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
Dental Clinic/Center 261QD0000X 61402 CA Primary

Addresses

Primary practice location

1117 W Manchester Blvd
Unit O
Inglewood, CA 90301-1500

Mailing address

1117 W Manchester Blvd
Unit O
Inglewood, CA 90301-1500
Phone (213) 271-0390

National Provider Directory

National Provider Directory

Locations

1117 W Manchester Blvd
Ste O
Inglewood, CA 90301
Phone (213) 271-0390

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": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1700215514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 W MANCHESTER BLVD",
            "address_2": "UNIT O",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011500",
            "telephone_number": "213-271-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 W MANCHESTER BLVD",
            "address_2": "UNIT O",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011500",
            "telephone_number": "213-271-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRPORT DENTAL CARE, PRACTICE OF DR. MOHAMMADI DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "MEHDI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "213-271-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "61402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.