Organization Active NPI

Mashreghi DMD Dental Corporation

  • General Practice Dentistry
  • North Hollywood, CA
National Provider Identifier
1982012258
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MASHREGHI DMD DENTAL CORPORATION
Practice address
5754 Willowcrest Ave
North Hollywood, CA 91601-2122
Phone
(323) 906-9066
Fax
(323) 666-8036
NPI assigned
Jul 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Dr. Alireza Mashreghi, D.M.DNPI 1750562385
Title
Dentist/Owner
Phone
(323) 906-9066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5754 Willowcrest Ave
North Hollywood, CA 91601-2122

Mailing address

5754 Willowcrest Ave
North Hollywood, CA 91601-2122
Phone (323) 906-9066

National Provider Directory

National Provider Directory

Locations

5754 Willowcrest Ave
North Hollywood, CA 91601
Phone (323) 906-9066

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1982012258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5754 WILLOWCREST AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012122",
            "telephone_number": "323-906-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5754 WILLOWCREST AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012122",
            "telephone_number": "323-906-9066",
            "fax_number": "323-666-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHREGHI DMD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "MASHREGHI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "323-906-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.