1. Home
  2. Directory
  3. California
  4. Encinitas
  5. Dentist
  6. NPI Profile

DR. PAUL MIRDAMADI DDS
NPI 1174000574
Dentist - Oral and Maxillofacial Surgery in Encinitas, CA

Active since July 27, 2018
511 ENCINITAS BLVD STE 118-120, ENCINITAS, CA 92024(213) 259-4867 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 31, 2025, Jul 27, 2018 (2 updates tracked since 2018).

About Dr. Paul Mirdamadi Dds NPPES

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

DR. PAUL MIRDAMADI DDS (NPI 1174000574) is an individual oral and maxillofacial surgery provider in Encinitas, California, licensed in Arizona (D011746) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1174000574
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PAUL MIRDAMADICredential: DDS
Location Address511 ENCINITAS BLVD STE 118-120Encinitas, CA 92024-3775
Mailing Address511 Encinitas Blvd Ste 118-120Encinitas, CA 92024-3775 · (213) 259-4867
Phone(213) 259-4867
Sole ProprietorNo
Enumeration DateJuly 27, 2018
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1174000574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in AZ · D011746✔ Licensed in CA · DDS104753
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
511 ENCINITAS BLVD STE 118-120, Encinitas, CA 92024
Open in Google Maps ↗

Other Names 1

Former Name (1)Mr. Parham Mirdamadi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

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 Paul Mirdamadi's NPI number?

The NPI number for Paul Mirdamadi is 1174000574. It was assigned to this individual provider in the NPPES registry on July 27, 2018. The provider is also known as Mr. Parham Mirdamadi.

Where is Paul Mirdamadi located?

Paul Mirdamadi practices at 511 Encinitas Blvd Ste 118-120, Encinitas, CA 92024. The listed phone number is (213) 259-4867.

What is Paul Mirdamadi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Paul Mirdamadi accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 11 other insurers list Paul Mirdamadi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Mirdamadi was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.