NPI Code Detail JSON Logo

1891816658 NPI number — ROYA NAZILA MIRKHAN DMD., MSD.

NPI Number: 1891816658
Health Care Provider/Practitioner: ROYA NAZILA MIRKHAN DMD., MSD.

Information about “1891816658” NPI (ROYA NAZILA MIRKHAN DMD., MSD.) exists in 1891816658 in HTML format HTML  |  1891816658 in plain Text format TXT  |  1891816658 in PDF (Portable Document Format) PDF  |  1891816658 in an XML format XML  formats.

NPI Number : 1891816658 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891816658",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MIRKHAN",
    "FirstName": "ROYA",
    "MiddleName": "NAZILA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD., MSD.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15725 POMERADO RD",
    "SecondLineMailingAddress": "SUITE #200",
    "MailingAddressCityName": "POWAY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92064-2068",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-676-1010",
    "MailingAddressFaxNumber": "858-592-0658",
    "FirstLinePracticeLocationAddress": "15725 POMERADO RD",
    "SecondLinePracticeLocationAddress": "SUITE #200",
    "PracticeLocationAddressCityName": "POWAY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92064-2068",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-676-1010",
    "PracticeLocationAddressFaxNumber": "858-592-0658",
    "EnumerationDate": "04/02/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223P0300X",
        "TaxonomyName": "Periodontics",
        "LicenseNumber": "44743",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.