Active NPI
Makhmalbaf & Mirmarashi Dental Partnership
- Dentist
- Los Angeles, CA
National Provider Identifier
1861932998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59489
- Legal business name
- MAKHMALBAF & MIRMARASHI DENTAL PARTNERSHIP
- Practice address
- 10921 Wilshire Blvd Ste 501
Los Angeles, CA 90024-4001 - Phone
- (310) 443-3030
- Fax
- (310) 443-5660
- NPI assigned
- Mar 8, 2017
- Organization subpart
- Yes
- Parent organization
- MIRMARSHI & MAKMALBAF DENTAL PARTNERSHIP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ali O. Makhmalbaf, DDS
- Title
- Dentist
- Phone
- (310) 443-3030
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 59489 | CA | Primary |
| Clinic/Center | 261Q00000X | 59489 | CA |
Addresses
Primary practice location
10921 Wilshire Blvd Ste 501
Los Angeles, CA 90024-4001
Mailing address
10921 Wilshire Blvd Ste 501
Los Angeles, CA 90024-4001
Phone (310) 443-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59489 | Medicaid | CA |
Other names 1
- Westwood Dental Arts Center
National Provider Directory
National Provider Directory- Part of
- Makhmalbaf Mirmarashi Dental Partnership
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Los Angeles, CA
- NPI 1477755759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489017600000",
"number": "1861932998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD STE 501",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244001",
"telephone_number": "310-443-3030",
"fax_number": "310-443-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD STE 501",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244001",
"telephone_number": "310-443-3030",
"fax_number": "310-443-5660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAKHMALBAF & MIRMARASHI DENTAL PARTNERSHIP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIRMARSHI & MAKMALBAF DENTAL PARTNERSHIP",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-09",
"status": "A",
"authorized_official_last_name": "MAKHMALBAF",
"authorized_official_first_name": "ALI",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "310-443-3030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "59489",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "59489",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59489",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Westwood Dental Arts Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.