Individual provider Active NPI

Aaron Michael Bjarnason, D.M.D

  • Pediatric Dentistry
  • Redding, CA
National Provider Identifier
1245530062
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
62303 Issued in CA
Practice address
400 Hartnell Ave
Redding, CA 96002-1848
Phone
(530) 222-2473
NPI assigned
Oct 26, 2010
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 62303 CA Primary

Addresses

Primary practice location

400 Hartnell Ave
Redding, CA 96002-1848

Mailing address

400 Hartnell Ave
Redding, CA 96002-1848
Phone (530) 222-2473

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
62303CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gus Charles Petras DDS Pediatric Dentistry Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1245530062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021848",
            "telephone_number": "530-222-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021848",
            "telephone_number": "530-222-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJARNASON",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-26",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "62303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.