Parisa Kermanshahi-Monfared, DMD, MSD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60719 Issued in CA

Practice address

320 Sycamore Ave Ste 60
Vista, CA 92083-7797

Phone

(760) 945-6043

NPI assigned

Sep 2, 2010

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• P Kermanshahi Monfared a Dental Corp

  • Pediatric Dentistry
  • Lake Forest, CA
  • NPI 1710859046
  NPD Authorized official
• Vincent Tu Dental Corporation

  • General Practice Dentistry
  • Vista, CA
  • NPI 1437214384
  NPD (past)

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1275840837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ARCADE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926030120",
            "telephone_number": "702-403-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SYCAMORE AVE STE 60",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920837797",
            "telephone_number": "760-945-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERMANSHAHI-MONFARED",
        "first_name": "PARISA",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "60719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Gibsonchiropractic, Inc
• Courtney Lee Kelly, NP
• Michael Kelly
• Holly Kempler, LCSW #96442
• Erin Kennedy Hartensveld, RD
• Wendy (Cassie) Dee Kerr, LEP #4378
• Janey L Keske
• Jennifer Kessler, CRNP
• Ted Kessler, PHARM.D.
• Elizabeth Ketchel, APCC

• Pediatric Dentistry in Vista, CA
• Providers in Vista, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.