Navid Entezari

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04524 Issued in NH

Practice address

367 Route 120 Unit C
Lebanon, NH 03766-1430

Phone

(603) 782-0329

NPI assigned

Oct 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1396388781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WOLF RD UNIT 601",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661917",
            "telephone_number": "703-407-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 ROUTE 120 UNIT C",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661430",
            "telephone_number": "603-782-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTEZARI",
        "first_name": "NAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ely, MD
• Victoria Oliver Emery, MSW, LICSW
• Margaret A Emmons, NP
• Richard Ian Enelow, MD
• Robert Enos, RPH
• Adam J Ephraim, MD
• Eric Jason Epstein, M.D.
• Bradley Lief Erickson, M.D.
• Kris A Eschbach, DO
• Clifford Joseph Eskey, MD PHD

• General Practice Dentistry in Lebanon, NH
• Providers in Lebanon, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.