Nima Mashhoon, DMD, MS

Primary specialty

DentistTaxonomy code 122300000X

License

103858 Issued in CA

Practice address

2151 S College Dr Ste 103
Santa Maria, CA 93455-1304

Phone

(805) 934-4000

Fax

(805) 803-1999

NPI assigned

Jul 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nima Mashhoon, DMD, Ms Inc

  dba Modern Smile Dentistry

  • Dental Clinic/Center
  • Santa Maria, CA
  • NPI 1528713534
  NPD Authorized official
• Hamlet Karapetian Dental Corp.

  dba Friendly Smiles Dental

  • General Practice Dentistry
  • Santa Maria, CA
  • NPI 1649658204
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1922651389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S COLLEGE DR STE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551304",
            "telephone_number": "805-934-4000",
            "fax_number": "805-803-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S COLLEGE DR STE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551304",
            "telephone_number": "805-934-4000",
            "fax_number": "805-803-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHHOON",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Martinez
• Stephanie Martinez
• Tiana Martinez
• Mary K. Oates, M.D. Inc
• James Mase
• Brian Mason
• Brock Allen Mason, D.O.
• Laurel Ann Mason, SLP
• Shannon Massey, R.D.
• Paige Masson

• Dentist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.