Active NPI
Ashokkumar S. Mehta D.D.S, Inc
- General Practice Dentistry
- Anaheim, CA
National Provider Identifier
1932866183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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., INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Oral and Maxillofacial Surgery (Dentist) | 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
National Provider Directory
National Provider Directory- Tax ID family
- Ashok Mehta DDS
- 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.
-
- General Practice Dentistry
- Brea, CA
- NPI 1073647566
-
- General Practice Dentistry
- Los Alamitos, CA
- NPI 1558494310
-
- General Practice Dentistry
- Pico Rivera, CA
- NPI 1831223320
-
- General Practice Dentistry
- Tustin, CA
- NPI 1548394034
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.