Individual provider Active NPI

Ashkan Ershadi, DMD

  • Dentist
  • Westlake Village, CA
National Provider Identifier
1255079562
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS108368 Issued in CA
Practice address
5784 Lindero Canyon Rd Ste B
Westlake Village, CA 91362-4088
Phone
(818) 706-0131
NPI assigned
May 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38338 TX
Dentist 122300000X DDS108368 CA Primary

Addresses

Primary practice location

5784 Lindero Canyon Rd Ste B
Westlake Village, CA 91362-4088

Mailing address

7391 Rutherford Hill Dr
West Hills, CA 91307-5204
Phone (818) 334-9821

Other practice location 1

4610 North St Ste 101B
Nacogdoches, TX 75965-1840
Phone (936) 560-0900

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
DDS108368CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Patel and Huss Dental Corporation Dentist PastSince Sep 8, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1255079562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7391 RUTHERFORD HILL DR",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913075204",
            "telephone_number": "818-334-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5784 LINDERO CANYON RD STE B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624088",
            "telephone_number": "818-706-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 North St Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759651840",
            "country_code": "US",
            "telephone_number": "936-560-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERSHADI",
        "first_name": "ASHKAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38338",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS108368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.