Active NPI
Mirmarashi&Makhmalbafdental Corporation
Doing business as Glendale Dental Arts Center
- Prosthodontics
- Glendale, CA
National Provider Identifier
1902296395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- 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, 2015
- Organization subpart
- No
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
- Title
- Owner
- Phone
- (818) 241-1160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.