Active NPI
Bijan Birgani, D.M.D.
- Dentist
- Erie, PA
National Provider Identifier
1316936651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS036001
- Practice address
- 3464 W 26TH St
Erie, PA 16506-2404 - Phone
- (814) 836-0757
- Fax
- (881) 483-6078
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS036001 | PA | Primary |
Addresses
Primary practice location
3464 W 26TH St
Erie, PA 16506-2404
Mailing address
3464 W 26TH St
Erie, PA 16506-2404
Phone (814) 836-0757
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 574094 | Other | UNITED CONCORDIA | |
| 1013659200 | Other | PA | MEDPLUS |
| 1013659200 | Medicaid | PA |
Other names 1
- Dr. Bijan Birgani
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS036001 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263254400000",
"number": "1316936651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3464 W 26TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165062404",
"telephone_number": "814-836-0757",
"fax_number": "814-836-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3464 W 26TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165062404",
"telephone_number": "814-836-0757",
"fax_number": "881-483-6078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRGANI",
"first_name": "BIJAN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2010-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS036001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "574094",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDPLUS",
"identifier": "1013659200",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013659200",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BIJAN",
"last_name": "BIRGANI",
"prefix": "DR.",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.