MEHDI MORADISERESHT, D.D.S., INC.
NPI 1477363463
Dentist - General Practice in Canoga Park, CA

Q: What is Mehdi Moradiseresht, D.D.S., Inc.'s NPI number?

The NPI number for Mehdi Moradiseresht, D.D.S., Inc. is 1477363463. It was assigned to this organization in the NPPES registry on January 10, 2025. The provider is doing business as Canoga Park Family Dentistry.

Q: What is Mehdi Moradiseresht, D.D.S., Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since January 10, 2025

20935 VANOWEN ST STE 207, CANOGA PARK, CA 91303(818) 918-6595 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mehdi Moradiseresht, D.d.s., Inc. NPPES

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

MEHDI MORADISERESHT, D.D.S., INC. (NPI 1477363463), doing business as Canoga Park Family Dentistry, is a healthcare organization registered as a general practice in Canoga Park, California and active in the NPI registry since January 2025. The organization lists Mehdi Moradiseresht, Owner/ Provider, as its authorized official.

NPPES Registry Identity

NPI1477363463

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMEHDI MORADISERESHT, D.D.S., INC.

Location Address20935 VANOWEN ST STE 207Canoga Park, CA 91303-3806

Mailing Address20935 Vanowen St Ste 207Canoga Park, CA 91303-3806 · (818) 918-6595

Phone(818) 918-6595

Organization SubpartNo

Authorized OfficialMehdi MoradisereshtOwner/ Provider · (818) 918-6595

Enumeration DateJanuary 10, 2025

NPPES CertifiedJanuary 10, 2025

✔ NPI 1477363463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

20935 VANOWEN ST STE 207, Canoga Park, CA 91303

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Other Names 1

Doing Business AsCanoga Park Family Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mehdi Moradiseresht, D.D.S., Inc.'s NPI number?

The NPI number for Mehdi Moradiseresht, D.D.S., Inc. is 1477363463. It was assigned to this organization in the NPPES registry on January 10, 2025. The provider is doing business as Canoga Park Family Dentistry.

Where is Mehdi Moradiseresht, D.D.S., Inc. located?

Mehdi Moradiseresht, D.D.S., Inc. is located at 20935 Vanowen St Ste 207, Canoga Park, CA 91303. The listed phone number is (818) 918-6595.

What is Mehdi Moradiseresht, D.D.S., Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mehdi Moradiseresht, D.D.S., Inc. was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.