Individual provider Active NPI

Nasrin Jahangiri Haghighi, DDS

  • Dentist
  • El Centro, CA
National Provider Identifier
1164491916
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49114 Issued in CA
Practice address
1550 Pepper Drive
Suite #F
El Centro, CA 92243
Phone
(760) 353-0087
Fax
(760) 353-5654
NPI assigned
Mar 15, 2006
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49114 CA Primary

Addresses

Primary practice location

1550 Pepper Drive
Suite #F
El Centro, CA 92243

Mailing address

1550 Pepper Drive
Suite #F
El Centro, CA 92243
Phone (760) 353-0087

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
I20160421002350 CA Order and Referring Only - DentistPractitioner - Dentist 2860791076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49114CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1164491916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 PEPPER DRIVE",
            "address_2": "SUITE #F",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-353-0087",
            "fax_number": "760-353-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 PEPPER DRIVE",
            "address_2": "SUITE #F",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-353-0087",
            "fax_number": "760-353-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHANGIRI HAGHIGHI",
        "first_name": "NASRIN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.