Mehrnoosh Darj, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0023061 Issued in TX

Practice address

1861 Robert Wynn St
Suited
El Paso, TX 79936-4254

Phone

(908) 696-9225

Fax

(915) 595-6693

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affordable El Paso Family Dental Associates PLLC

  • Dentist
  • El Paso, TX
  • NPI 1780847566
  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1801939111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 ROBERT WYNN ST STE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364255",
            "telephone_number": "908-405-8199",
            "fax_number": "915-595-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 ROBERT WYNN ST",
            "address_2": "SUITED",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364254",
            "telephone_number": "908-696-9225",
            "fax_number": "915-595-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARJ",
        "first_name": "MEHRNOOSH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02061600",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048641",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0023061",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0023061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7960701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enrique Darancou, DDS
• Danielle Darbonnier
• John Darcy, MD
• Darey Commerce LLC Dba: Spiramed
• Julie Leann Dargatz, RPH.
• Darla Mersman Ma, LPC
• Mary Elizabeth Darling, L.M.
• Scott Stephen Darling, D.C.
• Emily Ann Stratton Darnell, LAT, ATC
• Darryl Gilmer, LMFT, PLLC

• Dentist in El Paso, TX
• Providers in El Paso, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.