Anahita Taraporewalla Dastur, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

59916 Issued in CA

Practice address

241 S Glendora Ave
Glendora, CA 91741-3419

Phone

(626) 852-3750

NPI assigned

Jan 13, 2011

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

Other names 1

• Anahita Behram Taraporewalla Former name

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

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1346545886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 S GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413419",
            "telephone_number": "626-852-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 S GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413419",
            "telephone_number": "626-852-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTUR",
        "first_name": "ANAHITA",
        "middle_name": "TARAPOREWALLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANAHITA",
            "last_name": "TARAPOREWALLA",
            "middle_name": "BEHRAM",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nam Dao, FNP
• Bryce Mason Darden, D.D.S.
• Christina Leigh Darden, M.A. CCC-SLP
• Ronald Leon Darden, D.D.S.
• Shilpa Dashpute
• Kindra Lynn Davenport, LMFT
• David D Carlton OD an Optometric Corporation
• Charles G. Davis, D.C.
• Edward Lee Davis, MD
• Margaret N Dayne, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.