Organization Active NPI

Anu Mohan DDS Inc

Doing business as I-Rise Dental

  • Dental Clinic/Center
  • Del Mar, CA
National Provider Identifier
1821805276
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANU MOHAN DDS INC
Doing business as
I-Rise Dental
I-Rise Dental Boutique
Practice address
3790 Via de la Valle Ste 208
Del Mar, CA 92014-4250
Phone
(858) 367-9717
Fax
(858) 381-3111
NPI assigned
Dec 18, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Anand Arunachalam
Title
Office Manager
Phone
(858) 465-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3790 Via de la Valle Ste 208
Del Mar, CA 92014-4250

Mailing address

3790 Via de la Valle Ste 208
Del Mar, CA 92014-4250
Phone (858) 367-9717

Other names 2

  • I-Rise Dental Doing business as
  • I-Rise Dental Boutique Doing business as

National Provider Directory

National Provider Directory

Locations

3790 Via de la Valle
Ste 208
Del Mar, CA 92014
Phone (858) 367-9717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1821805276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE STE 208",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144250",
            "telephone_number": "858-367-9717",
            "fax_number": "858-381-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE STE 208",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144250",
            "telephone_number": "858-367-9717",
            "fax_number": "858-381-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANU MOHAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "ARUNACHALAM",
        "authorized_official_first_name": "ANAND",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-465-8717"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I-Rise Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "I-Rise Dental Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.