Individual provider Active NPI

Sheida Khazaii-Tabari

  • Dentist
  • Orange, CA
National Provider Identifier
1386932812
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60452 Issued in CA
Practice address
3440 E Berkshire CT Unit B
Orange, CA 92869-7527
Phone
(714) 264-3131
NPI assigned
Jul 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60452 CA Primary

Addresses

Primary practice location

3440 E Berkshire CT Unit B
Orange, CA 92869-7527

Mailing address

3440 E Berkshire CT Unit B
Orange, CA 92869-7527
Phone (714) 264-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150918000041 CA Order and Referring Only - Other (Non-Physician) 1456668706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60452CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheida Tabari, DDS, Inc. Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: skhazaii.tabari@direct.westerndental.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1386932812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 E BERKSHIRE CT UNIT B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928697527",
            "telephone_number": "714-264-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 E BERKSHIRE CT UNIT B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928697527",
            "telephone_number": "714-264-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAZAII-TABARI",
        "first_name": "SHEIDA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.