Aria Mirzazadeh Javaheri, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D81123 Issued in OR

Practice address

5228 N Lombard St
Portland, OR 97203-4326

Phone

(503) 289-7043

NPI assigned

May 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr James V Frohnmayer DMD PC

  • General Practice Dentistry
  • Portland, OR
  • NPI 1437234200
  NPD (past)
• Shiflett Family Dentistry

  • Dental Clinic/Center
  • Hoquiam, WA
  • NPI 1730532037
  NPD (past)

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1215626007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034326",
            "telephone_number": "503-289-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034326",
            "telephone_number": "503-289-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAZADEH JAVAHERI",
        "first_name": "ARIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-05",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D81123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Maureen Mirando, CCC-SLP
• Adam J Mirarchi, MD
• Miriam L Robinson, Licensed Clinical Social Worker, LLC
• Alar Mirka, M.D.
• Nicole Miroff
• Masoud Ramin Mirzazadeh Javaheri
• Galina Mirzoyan, PA
• Rebecca Eve Mischel, MD
• Heather Marie Mischke
• Sarah Margaret Miscoe, L.M.T.

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.

Verify at the official NPI Registry.