Joshua Behnam Shayefar, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

103757 Issued in CA

Practice address

420 E 3Rd St Ste 1008
Los Angeles, CA 90013-1648

Phone

(213) 625-7141

NPI assigned

Mar 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• J. Shayefar, a Dental Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1447094479
  NPD Authorized official
• A Sabbagh-Fard DDS & P. Mastour DDS Inc

  • Dentist
  • Culver City, CA
  • NPI 1568710333
  NPD
• Dr Afzalis Lake Forest Lifetime Dental Group PC

  • Dentist
  • Lake Forest, CA
  • NPI 1093107377
  NPD (past)
• Mastour & Fard Dental Corp

  • Preferred Provider Organization
  • Newberry Park, CA
  • NPI 1548730450
  NPD (past)
• Takumi J Kagawa DDS Inc

  • Prosthodontics
  • Los Angeles, CA
  • NPI 1013205392
  NPD (past)
• Family Dental Group C.a.

  • Periodontics
  • Bridgeport, CT
  • NPI 1700981602
  NPD (past)
• Tee-Pee Dentistry P.C.

  • General Practice Dentistry
  • Bridgeport, CT
  • NPI 1770935710
  NPD (past)

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1346780715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 S SAN VICENTE BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484192",
            "telephone_number": "310-895-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST STE 1008",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131648",
            "telephone_number": "213-625-7141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "468 Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066051713",
            "country_code": "US",
            "telephone_number": "203-337-6266",
            "fax_number": "203-337-6261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23731 El Toro Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926308615",
            "country_code": "US",
            "telephone_number": "949-581-8108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7365 Carnelian St Ste 135",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917301100",
            "country_code": "US",
            "telephone_number": "580-490-9347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAYEFAR",
        "first_name": "JOSHUA",
        "middle_name": "BEHNAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-03",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "11775",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "103757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn D Lee Chiropractic Rehab, Inc
• Shawn Lee Neuro Chiropractic, Inc
• Dayveon Shawver
• Ali Reza Shayan-Zakaria, D.M.D.
• Amin Shayan, DDS
• Bonnie Banafshe Shayeg, M.A.
• Bahareh Shayegan, MS
• Nader Ali Shayegh, MD
• Jonathan Erik Shaywitz, MD
• Dylan Shea, AMFT

• Periodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.