Organization Active NPI

Meserkhani Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Encino, CA
National Provider Identifier
1770013815
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
64426 Issued in CA
Legal business name
MESERKHANI DENTAL CORPORATION
Practice address
17815 Ventura Blvd
Encino, CA 91316
Phone
(818) 708-4909
NPI assigned
Jun 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Melineh Dereghishian, DDS
Title
President
Phone
(818) 708-4909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 64426 CA Primary

Addresses

Primary practice location

17815 Ventura Blvd
Encino, CA 91316

Mailing address

17815 Ventura Blvd
Encino, CA 91316-3610
Phone (818) 708-4909

Other names 1

  • Orthodontics LA Doing business as

National Provider Directory

National Provider Directory

Locations

17815 Ventura Blvd
Encino, CA 91316
Phone (818) 434-4335

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770013815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17815 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163610",
            "telephone_number": "818-708-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17815 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-708-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESERKHANI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEREGHISHIAN",
        "authorized_official_first_name": "MELINEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-708-4909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "64426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontics LA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthodontics LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.