Active NPI
Arash Bakhtari, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Whittier, CA
National Provider Identifier
1093841314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 54547
- Practice address
- 16461 Whittier Blvd
Whittier, CA 90603-3045 - Phone
- (562) 902-8582
- Fax
- (562) 902-8002
- NPI assigned
- Feb 23, 2007
- Last updated
- Sep 18, 2008
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 54547 | CA | Primary |
Addresses
Primary practice location
16461 Whittier Blvd
Whittier, CA 90603-3045
Mailing address
1310 Esplanade
205
Redondo Beach, CA 90277-5016
Phone (310) 291-7560
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150706001478 | CA | Order and Referring Only - Other (Physician) | 3274845292 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54547 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1093841314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 ESPLANADE",
"address_2": "205",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775016",
"telephone_number": "310-291-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16461 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906033045",
"telephone_number": "562-902-8582",
"fax_number": "562-902-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKHTARI",
"first_name": "ARASH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "54547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.