Individual provider Active NPI

Danesh Bastani, DDS

  • Dentist
  • Oakland, CA
National Provider Identifier
1255499786
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50209 Issued in CA
Practice address
315 14TH St
Oakland, CA 94612-3905
Phone
(510) 444-6300
Fax
(510) 444-6315
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50209 CA Primary

Addresses

Primary practice location

315 14TH St
Oakland, CA 94612-3905

Mailing address

315 14TH St
Oakland, CA 94612-3905
Phone (510) 444-6300

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
I20160603000830 CA Order and Referring Only - DentistPractitioner - Dentist 1254621261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
D.Bastani,D.D.S & a.Bandani,D.D.S.Inc Dentist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1255499786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 14TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123905",
            "telephone_number": "510-444-6300",
            "fax_number": "510-444-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 14TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123905",
            "telephone_number": "510-444-6300",
            "fax_number": "510-444-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTANI",
        "first_name": "DANESH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.