Active NPI
Amir H Bahadori, D.D.S
- Dentist
- Orange Cove, CA
National Provider Identifier
1366597783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS55140
- Practice address
- 445 11TH St
Orange Cove, CA 93646-2211 - Phone
- (559) 646-6900
- NPI assigned
- Jan 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | DDS55140 | CA | Primary |
Addresses
Primary practice location
445 11TH St
Orange Cove, CA 93646-2211
Mailing address
901 Harold St
# 137
Kingsburg, CA 93631-1044
Phone (559) 393-9174
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 |
|---|---|---|---|
| DDS55140 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366597783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 HAROLD ST",
"address_2": "# 137",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936311044",
"telephone_number": "559-393-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 11TH ST",
"city": "ORANGE COVE",
"state": "CA",
"postal_code": "936462211",
"telephone_number": "559-646-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHADORI",
"first_name": "AMIR",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS55140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Cove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.