Active NPI
Farid Tebyani, DDS
- General Practice Dentistry
- Thousand Oaks, CA
National Provider Identifier
1063571198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 53485
- Practice address
- 3180 Willow LN Ste 208
Thousand Oaks, CA 91361-4988 - Phone
- (805) 230-1900
- Fax
- (805) 230-1912
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 53485 | CA | Primary |
Addresses
Primary practice location
3180 Willow LN Ste 208
Thousand Oaks, CA 91361-4988
Mailing address
3180 Willow LN Ste 208
Thousand Oaks, CA 91361-4988
Phone (805) 230-1900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3180 Willow LN
Suite 208
Thousand Oaks, CA 91361-4988
5223 Kennedy Cres
Sanborn, NY 14132-9463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53485 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farid Tebyani, D.D.S., Inc. | General Practice | Current | Accepting new patients |
Locations
3180 Willow Ln
Ste 208
Thousand Oaks, CA 91361
Phone (805) 230-1900
Organizations & group practices 1
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.
-
dba Westlake Dental Care
- General Practice Dentistry
- Thousand Oaks, CA
- NPI 1720520539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1063571198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 WILLOW LN STE 208",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913614988",
"telephone_number": "805-230-1900",
"fax_number": "805-230-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 WILLOW LN STE 208",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913614988",
"telephone_number": "805-230-1900",
"fax_number": "805-230-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEBYANI",
"first_name": "FARID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "53485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.