Organization Active NPI

Ashokkumar S. Mehta D.D.S, Inc

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1932866183
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ASHOKKUMAR S. MEHTA D.D.S, INC
Doing business as
Mehta Dental Group
Practice address
330 N State College Blvd
105
Anaheim, CA 92806
Phone
(714) 772-5005
NPI assigned
Nov 23, 2021
Organization subpart
Yes
Parent organization
ASHOKKUMAR S. MEHTA D.D.S., INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Mr. Ashokkumar Shantilal Mehta, D.D.S
Title
D.D.S/Owner
Phone
(714) 928-4299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

330 N State College Blvd
105
Anaheim, CA 92806

Mailing address

330 N State College Blvd
105
Anaheim, CA 92806
Phone (714) 772-5005

Other names 1

  • Mehta Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ashok Mehta DDS5 organizations share this tax ID, including this one
Part of
Ashok Mehta DDS

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1932866183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N STATE COLLEGE BLVD",
            "address_2": "105",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92806",
            "telephone_number": "714-772-5005",
            "fax_number": "714-772-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N STATE COLLEGE BLVD",
            "address_2": "105",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92806",
            "telephone_number": "714-772-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHOKKUMAR S. MEHTA D.D.S, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHOKKUMAR S. MEHTA D.D.S., INC",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "ASHOKKUMAR",
        "authorized_official_middle_name": "SHANTILAL",
        "authorized_official_title_or_position": "D.D.S/OWNER",
        "authorized_official_telephone_number": "714-928-4299",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mehta Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

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