Laura Katherine Nader Mehanny

Primary specialty

DentistTaxonomy code 122300000X

License

105906 Issued in CA

Practice address

2120 Railroad Ave
Pittsburg, CA 94565-4880

Phone

(925) 203-3079

NPI assigned

Jan 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1780273524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 VALLEY GREEN DR",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 RAILROAD AVE",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654880",
            "telephone_number": "925-203-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHANNY",
        "first_name": "LAURA",
        "middle_name": "KATHERINE NADER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pittsburg",
            "affiliation": "N",
            "address_1": "2120 Railroad Ave",
            "city": "Pittsburg",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945654880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dentist in Pittsburg, CA
• Providers in Pittsburg, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.