Individual provider Active NPI

Farshad A. Zaghi, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colton, CA
National Provider Identifier
1023108735
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
41331 Issued in CA
Practice address
944 Via Lata
Colton, CA 92324-3918
Phone
(909) 340-9100
Fax
(855) 379-2444
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X S3-200 NV
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 41331 CA Primary

Addresses

Primary practice location

944 Via Lata
Colton, CA 92324-3918

Mailing address

944 Via Lata
Colton, CA 92324-3918
Phone (909) 340-9100

Other practice location 1

6388 W Sahara Ave
Las Vegas, NV 89146-3050
Phone (702) 288-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731003328 CA Order and Referring Only - DentistPractitioner - Dentist 3870841323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41331CAMDOrthodontics and Dentofacial Orthopedic Dentist
S3-200NVMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Saver Dental Group, DRS. Javaherian and Zaghi Current Accepting new patients
Colton Dental & Orthodontics Dr Zaghi Dental Group PC Current Accepting new patients

Locations

944 Via Lata
Colton, CA 92324
Phone (615) 946-8805

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1023108735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 VIA LATA",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243918",
            "telephone_number": "909-340-9100",
            "fax_number": "855-379-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 VIA LATA",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243918",
            "telephone_number": "909-340-9100",
            "fax_number": "855-379-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6388 W Sahara Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463050",
            "country_code": "US",
            "telephone_number": "702-288-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAGHI",
        "first_name": "FARSHAD",
        "middle_name": "A.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-200",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "41331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.