Active NPI
Mahroo Dental Corporation
Doing business as Breath Sleep Heal
- General Practice Dentistry
- Lake Forest, CA
National Provider Identifier
1720763089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MAHROO DENTAL CORPORATION
- Doing business as
- Breath Sleep Heal
- Practice address
- 23101 Lake Center Dr Ste 315
Lake Forest, CA 92630-6812 - Phone
- (504) 275-9681
- NPI assigned
- Jun 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nazafarine Mahroo, DDS
- Title
- Owner
- Phone
- (504) 275-9681
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
23101 Lake Center Dr Ste 315
Lake Forest, CA 92630-6812
Mailing address
23101 Lake Center Dr Ste 315
Lake Forest, CA 92630-6812
Phone (504) 275-9681
Other names 1
- Breath Sleep Heal
National Provider Directory
National Provider DirectoryPractitioners & 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": "1686787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686787200000",
"number": "1720763089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23101 LAKE CENTER DR STE 315",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926306812",
"telephone_number": "504-275-9681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23101 LAKE CENTER DR STE 315",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926306812",
"telephone_number": "504-275-9681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHROO DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A",
"authorized_official_last_name": "MAHROO",
"authorized_official_first_name": "NAZAFARINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-275-9681",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Breath Sleep Heal",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.