Mehrnoosh Moghaddam DMD a Professional Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43716 Issued in CA

Legal business name

MEHRNOOSH MOGHADDAM DMD A PROFESSIONAL CORP

Practice address

7332 Thornton Ave
Newark, CA 94560-3647

Phone

(510) 796-3333

Fax

(510) 796-3480

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Mehrnoosh Moghaddam

Title

Owner

Phone

(510) 796-3333

Specialties & licenses 1

Addresses

Other names 1

• General Plus Dental Doing business as

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1801255104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7332 THORNTON AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603647",
            "telephone_number": "510-796-3333",
            "fax_number": "510-796-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7332 THORNTON AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603647",
            "telephone_number": "510-796-3333",
            "fax_number": "510-796-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRNOOSH MOGHADDAM DMD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "MOGHADDAM",
        "authorized_official_first_name": "MEHRNOOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-796-3333"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Plus Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maurion Christopher McHenry
• William James McIntosh, PHARM.D
• Noelia Medina
• Tara Meekins
• Lily Mehraban
• Trishla Mehta
• Fatima Arleth Mejia-Argueta
• Dahlia Melgoza
• Mayra Alejandra Melgoza
• Leticia Mendes-Zuniga

• General Practice Dentistry in Newark, CA
• Providers in Newark, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.