DR. NICOLE MAHDAVI DDS
NPI 1043976582
Dentist in Los Angeles, CA

Q: What is Nicole Mahdavi's NPI number?

The NPI number for Nicole Mahdavi is 1043976582. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Q: What is Nicole Mahdavi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Mahdavi was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2021

1821 W 42ND PL, LOS ANGELES, CA 90062(909) 477-0320 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Nicole Mahdavi Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE MAHDAVI DDS (NPI 1043976582) is an individual dentist in Los Angeles, California, licensed in California (DDS106961) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1043976582

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. NICOLE MAHDAVICredential: DDS

Location Address1821 W 42ND PLLos Angeles, CA 90062-1541

Mailing Address1821 W 42nd PlLos Angeles, CA 90062-1541 · (909) 477-0320

Phone(909) 477-0320

Sole ProprietorNo

Enumeration DateNovember 9, 2021

NPPES CertifiedNovember 9, 2021

✔ NPI 1043976582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · DDS106961

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1821 W 42ND PL, Los Angeles, CA 90062

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Mahdavi's NPI number?

The NPI number for Nicole Mahdavi is 1043976582. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Nicole Mahdavi located?

Nicole Mahdavi practices at 1821 W 42nd Pl, Los Angeles, CA 90062. The listed phone number is (909) 477-0320.

What is Nicole Mahdavi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Nicole Mahdavi was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.