Individual provider Active NPI

Basem M Airood, D.D.S.

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1184724940
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49722 Issued in CA
Practice address
17931 Macarthur Blvd
Irvine, CA 92614-6505
Phone
(949) 862-0028
Fax
(949) 862-0038
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 49722 CA Primary

Addresses

Primary practice location

17931 Macarthur Blvd
Irvine, CA 92614-6505

Mailing address

17931 Macarthur Blvd
Irvine, CA 92614-6505
Phone (949) 862-0028

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
I20160314002047 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951607191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Basem Airood DDS,Inc Current Accepting new patients

Locations

17931 MacArthur Blvd
Irvine, CA 92614
Phone (949) 862-0028

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1184724940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17931 MACARTHUR BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146505",
            "telephone_number": "949-862-0028",
            "fax_number": "949-862-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17931 MACARTHUR BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146505",
            "telephone_number": "949-862-0028",
            "fax_number": "949-862-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIROOD",
        "first_name": "BASEM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.