Organization Active NPI

Mahroo Dental Corporation

Doing business as Breath Sleep Heal

  • General Practice Dentistry
  • Lake Forest, CA
National Provider Identifier
1720763089
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Dr. Nazafarine Mahroo, DDSNPI 1639343775
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.