Active NPI
Maryam Tangarpour
- Dentist
- Los Angeles, CA
National Provider Identifier
1306772017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 113173
- Practice address
- 1200 W Martin Luther King Jr Blvd
Los Angeles, CA 90037-1722 - Phone
- (323) 601-1140
- NPI assigned
- Jun 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 113173 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 113173 | CA |
Addresses
Primary practice location
1200 W Martin Luther King Jr Blvd
Los Angeles, CA 90037-1722
Mailing address
4545 N Lincoln Blvd Unit 1082
Oklahoma City, OK 73105-3425
Phone (949) 339-7307
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1306772017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 N LINCOLN BLVD UNIT 1082",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731053425",
"telephone_number": "949-339-7307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W MARTIN LUTHER KING JR BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900371722",
"telephone_number": "323-601-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANGARPOUR",
"first_name": "MARYAM",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-20",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "113173",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "113173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.