Mehdi L. Ghavam, D.M.D. L.L.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D8425 Issued in OR

Legal business name

MEHDI L. GHAVAM, D.M.D. L.L.C.

Practice address

106 N Market St
Talent, OR 97540-0265

Phone

(541) 890-1950

Fax

(541) 512-2601

NPI assigned

Apr 17, 2013

Last updated

Apr 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mehdi Lee Ghavam, D.M.D.

Title

Dentist

Phone

(541) 890-1950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1912340241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 ANDERSON CREEK RD",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975407733",
            "telephone_number": "541-890-1950",
            "fax_number": "541-512-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MARKET ST",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975400265",
            "telephone_number": "541-890-1950",
            "fax_number": "541-512-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHDI L. GHAVAM, D.M.D. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "GHAVAM",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-890-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Brett Lynch, PH.D.
• Terise Jane Manich, LMT LICENSED MASSAGE
• Adeline Jade Martin
• Linda A McGrath, RN
• Demaris McNamara, LMT
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• Cynthia Chance Miles, RN
• Moonbeam Counseling LLC
• Moonstone Midwifery, LLC
• Jessica Lorraine Mosher

• Dental Clinic/Center in Talent, OR
• Providers in Talent, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.