Organization Active NPI

Mirmarashi&Makhmalbafdental Corporation

Doing business as Glendale Dental Arts Center

  • Prosthodontics
  • Glendale, CA
National Provider Identifier
1902296395
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
MIRMARASHI&MAKHMALBAFDENTAL CORPORATION
Doing business as
Glendale Dental Arts Center
Practice address
814 E Broadway Ste 4
Glendale, CA 91205-4554
Phone
(818) 241-1160
Fax
(818) 241-1320
NPI assigned
Jan 23, 2015
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Dr. Ali O. Makhmalbaf
Title
Owner
Phone
(818) 241-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X Primary

Addresses

Primary practice location

814 E Broadway Ste 4
Glendale, CA 91205-4554

Mailing address

814 E Broadway Ste 4
Glendale, CA 91205-4554

Other names 1

  • Glendale Dental Arts Center Doing business as

National Provider Directory

National Provider Directory

Locations

814 E Broadway
Ste 4
Glendale, CA 91205
Phone (818) 241-1160

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1902296395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 E BROADWAY STE 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 E BROADWAY STE 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054554",
            "telephone_number": "818-241-1160",
            "fax_number": "818-241-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRMARASHI&MAKHMALBAFDENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "MAKHMALBAF",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-241-1160",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Dental Arts Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.