OrganizationActive
Mori Khatibzadeh DDS Inc.
NPI 1548782923 · Dental Clinic/Center · San Diego, CA
Mori Khatibzadeh DDS Inc. is a Dental Clinic/Center organization in San Diego, CA (NPI 1548782923).
Provider details
- NPI number
- 1548782923
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Morteza Khatibzad, Dentist(858) 617-9051
- License
- 55489 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6171 Mission Gorge Road
Suite #114
San Diego, CA 92120
Phone: (858) 617-9051
Street-level locationGet directions
Mailing address
6171 Mission Gorge Rd Ste 114
San Diego, CA 92120-3409
Other names (DBA / former)
- Other name
- Blue Mountain Dentistry
- Other name
- Blue Mountain Dentistry
Registry dates
- Enumerated
- 2017-07-07
- Last updated
- 2017-07-07
Frequently asked questions
- What is Mori Khatibzadeh DDS Inc.'s NPI number?
- Mori Khatibzadeh DDS Inc.'s National Provider Identifier (NPI) is 1548782923, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mori Khatibzadeh DDS Inc.?
- Mori Khatibzadeh DDS Inc. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mori Khatibzadeh DDS Inc. located?
- Mori Khatibzadeh DDS Inc.'s practice location on file with NPPES is 6171 Mission Gorge Road, San Diego, CA 92120.
- What is Mori Khatibzadeh DDS Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mori Khatibzadeh DDS Inc. is (858) 617-9051.
- Who is the authorized official for Mori Khatibzadeh DDS Inc.?
- The authorized official listed on Mori Khatibzadeh DDS Inc.'s NPPES record is Morteza Khatibzad, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mori Khatibzadeh DDS Inc.'s NPI active?
- Yes — Mori Khatibzadeh DDS Inc.'s NPI (1548782923) is active in the NPPES registry as of the last update on 2017-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.