Mehrdokht Mehrvarzi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

39184 Issued in CA

Practice address

31952 Camino Capistrano
Ste C14 & C16
San Juan Capistrano, CA 92675

Phone

(949) 240-6888

Fax

(949) 240-7653

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mehrdokht Mehrvarzi Dental Corp.

  • Dental Clinic/Center
  • San Juan Capistrano, CA
  • NPI 1407196587
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710194964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31952 CAMINO CAPISTRANO",
            "address_2": "STE C14 & C16",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-240-6888",
            "fax_number": "949-240-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31952 CAMINO CAPISTRANO",
            "address_2": "STE C14 & C16",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-240-6888",
            "fax_number": "949-240-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRVARZI",
        "first_name": "MEHRDOKHT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Mary McMillan
• Me Pivot Holdings LLC
• Lindsey Rose Meehleis, LINDSEY MEEHLEIS
• Meghan Richards LLC
• Mehrdokht Mehrvarzi Dental Corp.
• Mehtar Dental Corporation
• Ghassan Mehtar, D.D.S.
• Memorialcare Medical Group, Inc.
• Jason Meola, DNP, APRN, FNP-BC
• Carri Lynn Merriam, NP-C

• Dentist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.