Individual provider Active NPI

Vahik Meserkhani, DDS

  • Prosthodontics
  • Glendale, CA
National Provider Identifier
1275784183
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
39843 Issued in CA
Practice address
520 E Broadway
Glendale, CA 91205-4926
Phone
(818) 242-4046
NPI assigned
Oct 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 39843 CA Primary

Addresses

Primary practice location

520 E Broadway
Glendale, CA 91205-4926

Mailing address

520 E Broadway
Llu School of Dentistry
Glendale, CA 91205-4926
Phone (818) 242-4046

Other identifiers 1

IdentifierTypeStateIssuer
39843OtherCASTATE LICENSE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170125001661 CA Practitioner - Maxillofacial Surgery 9739461815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vahik Meserkhani DDS. Inc Prosthodontics 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": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1275784183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E BROADWAY",
            "address_2": "LLU SCHOOL OF DENTISTRY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054926",
            "telephone_number": "818-242-4046",
            "fax_number": "909-558-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054926",
            "telephone_number": "818-242-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESERKHANI",
        "first_name": "VAHIK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "39843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "39843",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.