Bijan Afar Dental Corporation

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

BIJAN AFAR DENTAL CORPORATION

Practice address

6200 Wilshire Blvd
Los Angeles, CA 90048-5801

Phone

(323) 938-6137

Fax

(323) 938-1336

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Marcela Martinez

Title

Office Manager

Phone

(818) 432-8300

Specialties & licenses 1

Addresses

Other names 1

• Wilshire Dental Office Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bijan Afar, DDS

  • Periodontics
  • Los Angeles, CA
  • NPI 1700954385
  Medicare reassignment NPD
• Poneh Ghasri, D.D.S.

  • Dentist
  • Encino, CA
  • NPI 1649472176
  NPD (past)
• Payman Kakoli, DDS

  • Endodontics
  • Encino, CA
  • NPI 1669639548
  NPD (past)
• Sheila Morim, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1528135001
  NPD (past)

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1174291363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-938-6137",
            "fax_number": "323-938-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-938-6137",
            "fax_number": "323-938-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIJAN AFAR DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-432-8300"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilshire Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ezakar Bigilinka
• Lindsey Bigler
• Dustin Bihm, MD
• Susan E. Bihrle, PH.D.
• Shandiin Biiliilitso
• Kamya Lalita Bijawat, MD
• Kevin Mani Biju, MD
• Rita Bilamejian
• Eric Bilbo, PT, DPT
• Kellie Bilbrew

• Public Health Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.