MARYAM EKHTIAR DDS INC (NPI# 1033742960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033742960 |
| Entity Type | Organization |
| Organization Name | MARYAM EKHTIAR DDS INC |
| Practice Address |
26691 Plaza Ste 215 Mission Viejo CA 92691-6329 |
| Practice Telephone | 9493641171 |
| Practice Fax Number | 9494248840 |
| Mailing Telephone | 9493641171 |
| Mailing Fax Number | 9494248840 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | DR. MARYAM EKHTIAR (DENTIST) |
| Authorized Official Telephone | 9493641171 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maryam Ekhtiar DDS Inc | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Newport Center Dr Ste 301, Newport Beach, CA 926607504 | 9494233692 |
| Street Address |
26691 PLAZA STE 215 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868054 | Haeri Professional Dental Corporation | Clinic/Center | 27725 Santa Margarita Pkwy Ste 242, Mission Viejo, CA 92691-6708 | 2019-06-04 |
| 1689142648 | Bryan Kim Dds Inc | Clinic/Center | 26800 Crown Valley Pkwy Ste 405, Mission Viejo, CA 92691-8022 | 2018-11-08 |
| 1114428760 | Martha Liliana Alvarez Dds Inc | Clinic/Center | 26137 La Paz Rd Ste 260, Mission Viejo, CA 92691-5330 | 2018-02-27 |
| 1184938102 | Murat Atli Dds Inc | Clinic/Center | 24000 Alicia Pkwy Ste 18, Mission Viejo, CA 92691-3929 | 2010-08-02 |
| 1316187792 | Dr Gediz Barnar | Clinic/Center | 25982 Pala Ste 110, Mission Viejo, CA 92691-6724 | 2009-02-25 |
| 1063670768 | Mission Viejo Dental Associates | Clinic/Center | 25522 Marguerite Parkway, #100, Mission Viejo, CA 92692 | 2008-05-29 |
| 1457978405 | Dr De Lormes Dental Group Inc | Clinic/Center | 26302 La Paz Road, Suite 108, Mission Viejo, CA 92691 | 2020-06-25 |
| 1891193140 | Oksana Bublik Dds,a Dental Corporation | Clinic/Center | 22951 Los Alisos Blvd, Ste.2, Mission Viejo, CA 92691-2841 | 2014-12-18 |
| 1265853881 | Robert T Cadalso Jr Professional Dental Corporation | Clinic/Center | 24896 Chrisanta Dr, Ste 110, Mission Viejo, CA 92691-4800 | 2013-12-27 |
| 1093975146 | Lw Inc | Clinic/Center | 25522 Marguerite Parkway, Suite #100, Mission Viejo, CA 92692 | 2008-06-12 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on MARYAM EKHTIAR DDS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.