NPIMap

Organization Active NPI

Maleki & Noori Dental Partnership

  • Dentist
  • South Gate, CA
National Provider Identifier
1922542356
Registry record updated Dec 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57118 Issued in CA
Legal business name
MALEKI & NOORI DENTAL PARTNERSHIP
Doing business as
South Gate Dentistry & Orthodontics
Practice address
8536 Long Beach Blvd
Suite B
South Gate, CA 90280-2017
Phone
(323) 581-0754
Fax
(323) 581-2106
NPI assigned
Dec 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2016

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

Authorized official

Name
Dr. Mehrdad Noori, D.D.S.
Title
Owner
Phone
(323) 581-0754

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 57118 CA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 58117 CA

Addresses

Primary practice location

8536 Long Beach Blvd
Suite B
South Gate, CA 90280-2017

Mailing address

8536 Long Beach Blvd
Suite B
South Gate, CA 90280-2017
Phone (323) 581-0754

Other names 1

  • South Gate Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

8536 Long Beach Blvd
Ste B
South Gate, CA 90280
Phone (323) 581-0754

NPI Registry JSON

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

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480723200000",
    "number": "1922542356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 LONG BEACH BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802017",
            "telephone_number": "323-581-0754",
            "fax_number": "323-581-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 LONG BEACH BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802017",
            "telephone_number": "323-581-0754",
            "fax_number": "323-581-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALEKI & NOORI DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-03",
        "last_updated": "2016-12-03",
        "status": "A",
        "authorized_official_last_name": "NOORI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-581-0754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57118",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Gate Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; 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.