Individual provider Active NPI

Katrin Ashir

  • Dental Hygienist
  • Los Angeles, CA
National Provider Identifier
1154609121
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
25717 Issued in CA
Practice address
1377 S Beverly Glen Blvd
# 607
Los Angeles, CA 90024-5214
Phone
(917) 653-4733
Fax
(323) 567-2929
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 25717 CA Primary

Addresses

Primary practice location

1377 S Beverly Glen Blvd
# 607
Los Angeles, CA 90024-5214

Mailing address

1377 S Beverly Glen Blvd
# 607
Los Angeles, CA 90024-5214
Phone (917) 653-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25717CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1154609121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 S BEVERLY GLEN BLVD",
            "address_2": "# 607",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245214",
            "telephone_number": "917-653-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 S BEVERLY GLEN BLVD",
            "address_2": "# 607",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245214",
            "telephone_number": "917-653-4733",
            "fax_number": "323-567-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHIR",
        "first_name": "KATRIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "25717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.