Organization Active NPI

Mehdi Motakef D.D.S., M.S. Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • La Mirada, CA
National Provider Identifier
1861892994
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
42372 Issued in CA
Legal business name
MEHDI MOTAKEF D.D.S., M.S. INC.
Practice address
14930 Imperial Hwy Ste C
La Mirada, CA 90638-2100
Phone
(562) 941-4411
Fax
(562) 941-0062
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Maria Maryam Javadpour
Title
Office Manager
Phone
(310) 869-0302

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 42372 CA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

14930 Imperial Hwy Ste C
La Mirada, CA 90638-2100

Mailing address

14930 Imperial Hwy Ste C
La Mirada, CA 90638-2100
Phone (562) 941-4411

Other identifiers 2

IdentifierTypeStateIssuer
1861892994OtherCAN/A
1861892994MedicaidCA

National Provider Directory

National Provider Directory

Locations

14930 Imperial Hwy
Ste C
La Mirada, CA 90638
Phone (562) 941-4411

11311 La Mirada Blvd
Ste D
Whittier, CA 90604
Phone (562) 941-0224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1861892994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14930 IMPERIAL HWY STE C",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382100",
            "telephone_number": "562-941-4411",
            "fax_number": "562-941-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 IMPERIAL HWY STE C",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382100",
            "telephone_number": "562-941-4411",
            "fax_number": "562-941-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHDI MOTAKEF D.D.S., M.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "JAVADPOUR",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "MARYAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-869-0302"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "42372",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1861892994",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861892994",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.