NPIMap

Organization Active NPI

Afshin Mazdeyasnan DDS a Prof Dental Corp

Doing business as Mid Valley Endodontics Office Of Afshin Mazdeyasnan DDS A Prof Dental

  • Endodontics
  • Northridge, CA
National Provider Identifier
1831250208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
AFSHIN MAZDEYASNAN DDS A PROF DENTAL CORP
Doing business as
Mid Valley Endodontics Office Of Afshin Mazdeyasnan DDS A Prof Dental
Practice address
18250 Roscoe Blvd
Suite 345
Northridge, CA 91325
Phone
(818) 885-3636
Fax
(818) 885-1236
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Afshin Mazdeyasnan, DDSNPI 1245397975
Title
Principle Officer President
Phone
(818) 885-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

18250 Roscoe Blvd
Suite 345
Northridge, CA 91325

Mailing address

18250 Roscoe Blvd
Suite 345
Northridge, CA 91325
Phone (818) 885-3636

Other names 1

  • Mid Valley Endodontics Office Of Afshin Mazdeyasnan DDS A Prof Dental Doing business as

National Provider Directory

National Provider Directory

Locations

18250 Roscoe Blvd
Ste 345
Northridge, CA 91325
Phone (310) 564-6231

Practitioners & affiliated clinicians

Practitioners 2

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831250208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "address_2": "SUITE 345",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325",
            "telephone_number": "818-885-3636",
            "fax_number": "818-885-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "address_2": "SUITE 345",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325",
            "telephone_number": "818-885-3636",
            "fax_number": "818-885-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFSHIN MAZDEYASNAN DDS A PROF DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZDEYASNAN",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "PRINCIPLE OFFICER PRESIDENT",
        "authorized_official_telephone_number": "818-885-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Valley Endodontics Office Of Afshin Mazdeyasnan DDS A Prof Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.