Mehi M. Vandi DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

40849 Issued in CA

Legal business name

MEHI M. VANDI DDS INC.

Doing business as

Mehdi M. Vandi, DDS Inc.

Practice address

1930 S Bascom Ave
Suite #100
Campbell, CA 95008-2364

Phone

(408) 963-6678

Fax

(408) 963-6668

NPI assigned

Mar 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mehdi M Vandi, DDS

Title

President

Phone

(408) 963-6678

Specialties & licenses 3

Addresses

Other names 1

• Mehdi M. Vandi, DDS Inc. Doing business as

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1801162987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S BASCOM AVE",
            "address_2": "SUITE #100",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082364",
            "telephone_number": "408-963-6678",
            "fax_number": "408-963-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BASCOM AVE",
            "address_2": "SUITE #100",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082364",
            "telephone_number": "408-963-6678",
            "fax_number": "408-963-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHI M. VANDI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "VANDI",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-963-6678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40849",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH 19264",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH 25903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mehdi M. Vandi, DDS Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.